Rise Jayne Vanfleet, PH.D.

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

PS004870L Issued in PA

Practice address

391 Mountain Road (Family Enhancement)
Boiling Springs, PA 17007-9522

Phone

(717) 645-1638

Fax

(717) 249-9479

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1457576449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170070613",
            "telephone_number": "717-645-1638",
            "fax_number": "717-249-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MOUNTAIN ROAD (FAMILY ENHANCEMENT)",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079522",
            "telephone_number": "717-645-1638",
            "fax_number": "717-249-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANFLEET",
        "first_name": "RISE",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004870L",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PA",
            "license": "PS004870L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "700870",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Psychologist in Boiling Springs, PA
• Providers in Boiling Springs, PA by specialty
• Family Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.