Active NPI
Samera Nasereddin, MSSC, LP, FIPA
- Psychoanalyst
- New York, NY
National Provider Identifier
1972754646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 209
- Practice address
- 177 Prince St
# 403
New York, NY 10012-2946 - Phone
- (212) 714-3956
- NPI assigned
- Sep 30, 2008
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 209 | NY | Primary |
Addresses
Primary practice location
177 Prince St
# 403
New York, NY 10012-2946
Mailing address
177 Prince St
# 403
New York, NY 10012-2946
Phone (212) 714-3956
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 |
|---|---|---|---|
| 209 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253923200000",
"number": "1972754646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 PRINCE ST",
"address_2": "# 403",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122946",
"telephone_number": "212-714-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 PRINCE ST",
"address_2": "# 403",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122946",
"telephone_number": "212-714-3956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASEREDDIN",
"first_name": "SAMERA",
"name_prefix": "Ms.",
"credential": "MSSC, LP, FIPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2009-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.