Active NPI
Leah Guttman
- Clinical Child & Adolescent Psychologist
- New York, NY
National Provider Identifier
1225406416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PS01793
- Practice address
- 100 Riverside Blvd
New York, NY 10069-0401 - Phone
- (203) 249-5229
- NPI assigned
- Sep 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS01793 | RI | Primary |
Addresses
Primary practice location
100 Riverside Blvd
New York, NY 10069-0401
Mailing address
118 Lawrence Hill Rd
Stamford, CT 06903-2117
Phone (203) 249-5229
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 |
|---|---|---|---|
| PS01793 | RI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1225406416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 LAWRENCE HILL RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069032117",
"telephone_number": "203-249-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RIVERSIDE BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100690401",
"telephone_number": "203-249-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTMAN",
"first_name": "LEAH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-04",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PS01793",
"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 Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.