Active NPI
Renata Nisenbaum
- Mental Health Counselor
- Bethpage, NY
National Provider Identifier
1912388844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003085-1
- Practice address
- 60 Devon Rd
Bethpage, NY 11714-1117 - Phone
- (516) 316-3002
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 003085-1 | NY | Primary |
Addresses
Primary practice location
60 Devon Rd
Bethpage, NY 11714-1117
Mailing address
60 Devon Rd
Bethpage, NY 11714-1117
Phone (516) 316-3002
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003085-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1912388844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 DEVON RD",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117141117",
"telephone_number": "516-316-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 DEVON RD",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117141117",
"telephone_number": "516-316-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISENBAUM",
"first_name": "RENATA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003085-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethpage, NY
- Joseph Frank Nestola, DO
- New York Anesthesia Associates P.C.
- Newbridge Surgical Supplies, Inc. (Praxair Healthcare Services)
- Dien Nguyen
- Carly Nimmo
- Brianna Nobles
- North Shore Hematology Oncology Associates PC (NY Cancer & Blood Specialists)
- North Shore Surgical PC
- Christine Leanne Novelli, R.N.
- Ny Surgical Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.