NPIMap

Organization Active NPI

Leanne Domash, PH.D., P.C.

  • Psychologist
  • New York, NY
National Provider Identifier
1114187390
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
#4388 Issued in NY
Legal business name
LEANNE DOMASH, PH.D., P.C.
Practice address
77 E 12TH St
#19D
New York, NY 10003-5002
Phone
(212) 982-6672
NPI assigned
Jun 11, 2008
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Leanne DomashNPI 1437460722
Title
President
Phone
(212) 982-6672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X #4388 NY Primary

Addresses

Primary practice location

77 E 12TH St
#19D
New York, NY 10003-5002

Mailing address

77 E 12TH St
#19D
New York, NY 10003-5002
Phone (212) 982-6672

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1114187390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E 12TH ST",
            "address_2": "#19D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035002",
            "telephone_number": "212-982-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E 12TH ST",
            "address_2": "#19D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035002",
            "telephone_number": "212-982-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEANNE DOMASH, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "DOMASH",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-982-6672",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "#4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.