Jacqueline Sarah Riseman, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004282 Issued in NY

Practice address

122 Sterling Rd
Harrison, NY 10528-1134

Phone

(914) 967-6531

Fax

(914) 967-6531

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jacqueline Sarah Riseman-Detsky Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982769352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 STERLING RD",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281134",
            "telephone_number": "914-967-6531",
            "fax_number": "914-967-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 STERLING RD",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281134",
            "telephone_number": "914-967-6531",
            "fax_number": "914-967-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISEMAN",
        "first_name": "JACQUELINE",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "RISEMAN-DETSKY",
            "middle_name": "SARAH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Harrison, NY
• Providers in Harrison, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.