Active NPI
Alejandro Leguizamo, PH.D.
- Psychologist
- Providence, RI
National Provider Identifier
1154809812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8020
- Practice address
- 20 Cathedral Ave
Providence, RI 02908-1929 - Phone
- (401) 749-4439
- NPI assigned
- Aug 3, 2018
- 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 | 8020 | MA | Primary |
Addresses
Primary practice location
20 Cathedral Ave
Providence, RI 02908-1929
Mailing address
20 Cathedral Ave
Providence, RI 02908-1929
Phone (401) 749-4439
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8020 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1154809812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CATHEDRAL AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029081929",
"telephone_number": "401-749-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CATHEDRAL AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029081929",
"telephone_number": "401-749-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGUIZAMO",
"first_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MA",
"license": "8020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.