Jeanne Sara Nesselroth, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

006055-1 Issued in NY

Practice address

17 Lexington Dr
Croton on Hudson, NY 10520-2803

Phone

(914) 271-6744

NPI assigned

Feb 14, 2007

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

New York University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1548303183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LEXINGTON DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202803",
            "telephone_number": "914-271-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LEXINGTON DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202803",
            "telephone_number": "914-271-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSELROTH",
        "first_name": "JEANNE",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006055-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Mowery
• Mr Home Care LLC (Senior Helpers)
• Barbara S. Nadel, LCSW, PH.D.
• Saba Nakhai
• Jean Catherine Nastasi
• Leah Odonnell, LCSW
• Alexis Noelle Oliveros, M.D.
• Alyssa Lynn Oner, LMSW
• Michael Onorato, PSY.D.
• Markian Antonio Ozaruk, MHC

• Psychologist in Croton on Hudson, NY
• Providers in Croton on Hudson, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.