Individual provider Active NPI

Sharon Judith Riser, M.D.

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1649370933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MD031501E Issued in PA
Practice address
8001 Roosevelt Blvd
205-207
Philadelphia, PA 19152-3038
Phone
(215) 332-1914
Fax
(215) 332-1873
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MD031501E PA Primary

Addresses

Primary practice location

8001 Roosevelt Blvd
205-207
Philadelphia, PA 19152-3038

Mailing address

2009 Stoneridge LN
Villanova, PA 19085-1723
Phone (610) 526-9482

Other identifiers 4

IdentifierTypeStateIssuer
0083209000OtherPAMAGELLAN ID
1091921MedicaidPA
139926OtherPABC/BS ID
7375059OtherPAAETNA ID

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD031501EPAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access Network Past Accepting new patients
Wives Self Help Foundation, Inc Mental Health Past Accepting new patients
Wives Self Help Foundation, Inc Mental Health Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649370933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 STONERIDGE LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851723",
            "telephone_number": "610-526-9482",
            "fax_number": "215-332-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "205-207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-332-1914",
            "fax_number": "215-332-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISER",
        "first_name": "SHARON",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "MD031501E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID",
            "identifier": "0083209000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091921",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID",
            "identifier": "139926",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7375059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.