Lissette Leon Iglesias, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9557 Issued in FL

Practice address

9840 Sandalfoot Blvd
Boca Raton, FL 33428-6645

Phone

(561) 910-1862

NPI assigned

Oct 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mtca Psychological Services P.a.

  • Clinical Psychologist
  • North Miami Beach, FL
  • NPI 1740552322
  Medicare reassignment NPD

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466294400000",
    "number": "1306274865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 SANDALFOOT BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286645",
            "telephone_number": "561-910-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 SANDALFOOT BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286645",
            "telephone_number": "561-910-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON IGLESIAS",
        "first_name": "LISSETTE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2016-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry M Lennon, DDS
• Krystie Lennox, PA-C
• Fran Lenter, LMHC
• Maureen Michelle Leogrande, ARNP-BC
• Leon Abram MD PA
• Leon Psychological Services LLC
• Leonard E. Noud DMD, PA (Boca Hamptons Dental)
• Anastasia Leondis, MA, LMHC
• Juliana Maria Leondis
• Sienna Leone

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.