Active NPI
Lisa Stetson, RPH
- Psychiatric Pharmacist
- Staten Island, NY
National Provider Identifier
1982030417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 046948-1
- Practice address
- 777 Seaview Avenue South Beach Psychiatric Center
Staten Island, NY 10305-3409 - Phone
- (718) 667-2638
- NPI assigned
- Sep 16, 2013
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 046948-1 | NY | Primary |
Addresses
Primary practice location
777 Seaview Avenue South Beach Psychiatric Center
Staten Island, NY 10305-3409
Mailing address
777 Seaview Ave
Staten Island, NY 10305-3409
Phone (718) 667-2638
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046948-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1982030417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053409",
"telephone_number": "718-667-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 SEAVIEW AVENUE SOUTH BEACH PSYCHIATRIC CENTER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053409",
"telephone_number": "718-667-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETSON",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NY",
"license": "046948-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.