Active NPI
Rachel Janine Nilsen, PHD
- Psychologist
- Astoria, NY
National Provider Identifier
1821328352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018265
- Practice address
- 3089 42ND St
Astoria, NY 11103-3028 - Phone
- (703) 622-9725
- NPI assigned
- Jan 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1000596 | DC | |
| Psychologist | 103T00000X | 018265 | NY | Primary |
Addresses
Primary practice location
3089 42ND St
Astoria, NY 11103-3028
Mailing address
122 Adelphi St
Apt. 6B
Brooklyn, NY 11205-2305
Phone (703) 622-9725
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000596 | DC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1821328352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 ADELPHI ST",
"address_2": "APT. 6B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052305",
"telephone_number": "703-622-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3089 42ND ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033028",
"telephone_number": "703-622-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSEN",
"first_name": "RACHEL",
"middle_name": "JANINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1000596",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.