Individual provider Active NPI

Jessica Audrey Scher Lisa, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • East Setauket, NY
National Provider Identifier
1588964324
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
018888 Issued in NY
Practice address
100 S Jersey Ave
Suite #1
East Setauket, NY 11733-2034
Phone
(516) 906-7846
Fax
(631) 489-0100
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 018888 NY Primary

Addresses

Primary practice location

100 S Jersey Ave
Suite #1
East Setauket, NY 11733-2034

Mailing address

100 S Jersey Ave
Suite #1
East Setauket, NY 11733-2034
Phone (516) 906-7846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1588964324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JERSEY AVE",
            "address_2": "SUITE #1",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332034",
            "telephone_number": "516-906-7846",
            "fax_number": "631-489-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JERSEY AVE",
            "address_2": "SUITE #1",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332034",
            "telephone_number": "516-906-7846",
            "fax_number": "631-489-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHER LISA",
        "first_name": "JESSICA",
        "middle_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "018888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.