DR. ANDREA JANE RISKIN PSY.D.
NPI 1992029995
Psychologist - Clinical in Ridgewood, NJ

Active since March 18, 2010Opted out of Medicare · through Apr 1, 2028
1 PROSPECT ST, RIDGEWOOD, NJ 07450(201) 447-2242 Get Directions Write a Review

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andrea Jane Riskin Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA JANE RISKIN PSY.D. (NPI 1992029995) is an individual clinical provider in Ridgewood, New Jersey, licensed in New Jersey (35S100504300) and active in the NPI registry since March 2010. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1992029995
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREA JANE RISKINCredential: PSY.D.
Location Address1 PROSPECT STRidgewood, NJ 07450-4404
Mailing Address38-43 Dauria DrFair Lawn, NJ 07410-5104 · (201) 796-6188
Sole ProprietorNo
Enumeration DateMarch 18, 2010
Last NPPES UpdateJanuary 2, 2018
NPI 1992029995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NJ · 35S100504300
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1 PROSPECT ST, Ridgewood, NJ 07450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Andrea Jane Riskin Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1 PROSPECT ST, SUITES 5-7
RIDGEWOOD, NJ 07450
Psychologist (Clinical)
1 PROSPECT ST, SUITE 5
RIDGEWOOD, NJ 07450
Psychologist (Clinical)
1 PROSPECT ST
RIDGEWOOD, NJ 07450
Psychologist
1 PROSPECT ST, SUITES 5-7
RIDGEWOOD, NJ 07450
Psychologist (Clinical)
1 PROSPECT ST, SUITE 5-7
RIDGEWOOD, NJ 07450
Psychologist
1 PROSPECT ST
RIDGEWOOD, NJ 07450
Psychoanalyst
1 PROSPECT ST
RIDGEWOOD, NJ 07450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Riskin's NPI number?

The NPI number for Andrea Riskin is 1992029995. It was assigned to this individual provider in the NPPES registry on March 18, 2010.

Where is Andrea Riskin located?

Andrea Riskin practices at 1 Prospect St, Ridgewood, NJ 07450. The listed phone number is (201) 447-2242.

What is Andrea Riskin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrea Riskin enrolled in Medicare?

No. Andrea Riskin has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrea Riskin was last updated on January 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.