Individual provider Active NPI

Leslie Adelstein, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1215254040
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018516 Issued in NY
Practice address
31 E 12TH St
Suite #1E
New York, NY 10003-4623
Phone
(212) 475-9500
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 018516 NY Primary

Addresses

Primary practice location

31 E 12TH St
Suite #1E
New York, NY 10003-4623

Mailing address

31 E 12TH St
Suite #1E
New York, NY 10003-4623
Phone (212) 475-9500

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1215254040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E 12TH ST",
            "address_2": "SUITE #1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034623",
            "telephone_number": "212-475-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E 12TH ST",
            "address_2": "SUITE #1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034623",
            "telephone_number": "212-475-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSTEIN",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018516",
            "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 May 4, 2010; 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.