Individual provider Active NPI

Rebecca (Nastassia) E. Riser, M.S., PH.D.

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1831486778
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30973 Issued in CA
Practice address
700 Garden View CT Ste 201J
Encinitas, CA 92024-2479
Phone
(760) 492-9057
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 30973 CA Primary

Addresses

Primary practice location

700 Garden View CT Ste 201J
Encinitas, CA 92024-2479

Mailing address

700 Garden View CT Ste 201J
Encinitas, CA 92024-2479
Phone (760) 492-9057

Other practice location 1

1761 Hotel Cir S
#315
San Diego, CA 92108-3318
Phone (262) 960-1331

Other names 1

  • Dr. Nastassia Rebecca Riser Professional name

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
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30973CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Nastassia Rebecca Riser, a Professional Psychological Corporation Clinical CurrentSince Oct 6, 2019 Accepting new patients

Locations

700 Garden View Ct
Ste 201J
Encinitas, CA 92024
Phone (760) 492-9057

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1831486778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 201J",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242479",
            "telephone_number": "760-492-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 201J",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242479",
            "telephone_number": "760-492-9057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 Hotel Cir S",
            "address_2": "#315",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083318",
            "country_code": "US",
            "telephone_number": "262-960-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISER",
        "first_name": "REBECCA (NASTASSIA)",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NASTASSIA",
            "last_name": "RISER",
            "middle_name": "REBECCA",
            "prefix": "DR.",
            "credential": "M.S., PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.