Active NPI
Leonard Fred Caltabiano, PSY.D.
- Psychologist
- Garden City, NY
National Provider Identifier
1104114156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019152
- Practice address
- 300 Garden City PLZ Ste 350
Garden City, NY 11530-3358 - Phone
- (516) 747-9030
- Fax
- (516) 877-0998
- NPI assigned
- Jul 12, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019152 | NY | Primary |
Addresses
Primary practice location
300 Garden City PLZ Ste 350
Garden City, NY 11530-3358
Mailing address
104 Adam St
North Massapequa, NY 11758-1603
Phone (516) 586-5319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019152 | Other | NY | NYS STATE LICENSE NUMBER FOR PSYCHOLOGY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Educational Services SLP, OT, PT, LMSW, Psychology, Audiology, PL | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Westbury, NY
- NPI 1538944467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1104114156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ADAM ST",
"city": "NORTH MASSAPEQUA",
"state": "NY",
"postal_code": "117581603",
"telephone_number": "516-586-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GARDEN CITY PLZ STE 350",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303358",
"telephone_number": "516-747-9030",
"fax_number": "516-877-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALTABIANO",
"first_name": "LEONARD",
"middle_name": "FRED",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS STATE LICENSE NUMBER FOR PSYCHOLOGY",
"identifier": "019152",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.