Clarissa Rhiannon Slesar, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019671 Issued in NY

Practice address

611 Broadway
Suite 520
New York, NY 10012-2608

Phone

(347) 581-1688

Fax

(212) 777-3918

NPI assigned

Jun 28, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1770780314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BROADWAY",
            "address_2": "SUITE 520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122608",
            "telephone_number": "347-581-1688",
            "fax_number": "212-777-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY",
            "address_2": "SUITE 520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122608",
            "telephone_number": "347-581-1688",
            "fax_number": "212-777-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLESAR",
        "first_name": "CLARISSA",
        "middle_name": "RHIANNON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Slemp, PSYD
• Nicolette Slender, PA-C
• Julie Erica Slepian, MA, CCC-SLP, TSSLD
• Ralph L. Slepian
• Ignat Slepokourov
• Irving Slesar
• Kristen Slesar
• Adam William Slevin, PA-C
• Corinne Slevin, PT, DPT, MS
• Julie Slevin

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.