Nina Cheryl Reiss

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001375 Issued in NY

Practice address

215 Islip Ave
Islip, NY 11751-3028

Phone

(631) 210-7508

Fax

(516) 636-4342

NPI assigned

Mar 3, 2017

Last updated

Mar 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beverley Mack Harry Consulting Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1497832919
  NPD (past)

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1457891822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JANET PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812818",
            "telephone_number": "631-210-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513028",
            "telephone_number": "631-210-7508",
            "fax_number": "516-636-4342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Islip",
            "state": "NY",
            "postal_code": "117513536",
            "country_code": "US",
            "telephone_number": "631-210-7508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Janet Pl",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115812818",
            "country_code": "US",
            "telephone_number": "631-210-7508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 Caldwell Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115813618",
            "country_code": "US",
            "telephone_number": "631-210-7508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Cedarhurst",
            "state": "NY",
            "postal_code": "115162329",
            "country_code": "US",
            "telephone_number": "631-210-7508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "738 Crown Street",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11213",
            "country_code": "US",
            "telephone_number": "718-363-0100",
            "fax_number": "718-363-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISS",
        "first_name": "NINA",
        "middle_name": "CHERYL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Natacha Ramsaroop, ANP
• Agha M Raza, MD
• Reardon Physical Therapy, PLLC (PREP Physio Therapy)
• Suzanne Smith Reese
• Kelly Reilly, LMHC
• Christine Rideout
• Angela M Rine, LMHC
• Christine C Rivera, LPN
• Michael James Rivezzo, OTR/L
• Edna Rodriguez, RN

• Marriage & Family Therapist in Islip, NY
• Providers in Islip, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.