Individual provider Active NPI

Giselle Leal, PSYD

  • Psychologist
  • Miami, FL
National Provider Identifier
1093322760
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10894 Issued in FL
Practice address
175 SW 7TH St Ste 2417
Miami, FL 33130-2966
Phone
(786) 565-8006
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY10894 FL
Adult Development & Aging Psychologist 103TA0700X PY10894 FL
Rehabilitation Psychologist 103TR0400X PY10894 FL
Psychologist 103T00000X PY10894 FL Primary

Addresses

Primary practice location

175 SW 7TH St Ste 2417
Miami, FL 33130-2966

Mailing address

175 SW 7TH St Ste 2417
Miami, FL 33130-2966

Other practice location 1

291 SW 27th Ave
Miami, FL 33135-1401
Phone (305) 858-1828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY10894FLMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC Current Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Insight Neurocognitive and Behavioral Center PastSince Apr 14, 2024 Accepting new patients

Locations

291 SW 27th Ave
Miami, FL 33135
Phone (305) 585-1828

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1093322760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SW 7TH ST STE 2417",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SW 7TH ST STE 2417",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302966",
            "telephone_number": "786-565-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 SW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331351401",
            "country_code": "US",
            "telephone_number": "305-858-1828",
            "fax_number": "305-856-6786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "GISELLE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY10894",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY10894",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "FL",
            "license": "PY10894",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.