Individual provider Active NPI

George M. Leute III

  • Psychologist
  • Media, PA
National Provider Identifier
1194805986
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS004523L Issued in PA
Practice address
205 N Monroe St
Media, PA 19063-3052
Phone
(610) 891-9077
Fax
(610) 565-9561
NPI assigned
Oct 16, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS004523L PA Primary

Addresses

Primary practice location

205 N Monroe St
Media, PA 19063-3052

Mailing address

205 N Monroe St
Media, PA 19063-3052
Phone (610) 891-9077

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS004523LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1194805986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MONROE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633052",
            "telephone_number": "610-891-9077",
            "fax_number": "610-565-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MONROE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633052",
            "telephone_number": "610-891-9077",
            "fax_number": "610-565-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUTE",
        "first_name": "GEORGE",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004523L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.