Individual provider Active NPI

Mineko Anne Legendy, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1144731050
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
022410 Issued in NY
Practice address
30 E 21St St Apt 2a
New York, NY 10010-7217
Phone
(917) 273-2779
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 022410 NY Primary

Addresses

Primary practice location

30 E 21St St Apt 2a
New York, NY 10010-7217

Mailing address

527 Lincoln PL Apt 402
Brooklyn, NY 11238-6211
Phone (917) 273-2779

Other names 1

  • Dr. Mineko Anne Onoue Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
022410NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1144731050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 LINCOLN PL APT 402",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386211",
            "telephone_number": "917-273-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 21ST ST APT 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107217",
            "telephone_number": "917-273-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGENDY",
        "first_name": "MINEKO ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINEKO ANNE",
            "last_name": "ONOUE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 18, 2017; 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.