Active NPI
George M. Leute III
- Psychologist
- Media, PA
National Provider Identifier
1194805986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004523L
- Practice address
- 19 E Second St
Media, PA 19063-2905 - Phone
- (610) 891-9077
- Fax
- (610) 891-9884
- NPI assigned
- Oct 16, 2006
- 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 | PS004523L | PA | Primary |
Addresses
Primary practice location
19 E Second St
Media, PA 19063-2905
Mailing address
19 E Second St
Media, PA 19063-2905
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS004523L | PA | MD | Psychologist |
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": "1757548800000",
"number": "1194805986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E SECOND ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632905",
"telephone_number": "610-891-9077",
"fax_number": "610-891-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E SECOND ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632905",
"telephone_number": "610-891-9077",
"fax_number": "610-891-9884"
}
],
"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": "2025-09-11",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.