Active NPI
Leonore Tiefer, PHD
- Psychologist
- New York, NY
National Provider Identifier
1306910195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5809
- Practice address
- 200 E 33Rd St
Suite 2J
New York, NY 10016 - Phone
- (212) 533-2774
- NPI assigned
- Nov 20, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5809 | NY | Primary |
Addresses
Primary practice location
200 E 33Rd St
Suite 2J
New York, NY 10016
Mailing address
300 First Ave
8F
New York, NY 10009
Phone (212) 533-2774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5809 | NY | MD | Endodontist |
| 005809 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306910195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 FIRST AVE",
"address_2": "8F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10009",
"telephone_number": "212-533-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 33RD ST",
"address_2": "SUITE 2J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-533-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEFER",
"first_name": "LEONORE",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "5809",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.