Mirentxu Leiva, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5798 Issued in FL

Practice address

25 SE 2ND Ave
Ste 1240
Miami, FL 33131-1606

Phone

(305) 401-2085

NPI assigned

Sep 28, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1316039621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 NAUTILUS DR",
            "address_2": "7-H",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402839",
            "telephone_number": "305-401-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SE 2ND AVE",
            "address_2": "STE 1240",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311606",
            "telephone_number": "305-401-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVA",
        "first_name": "MIRENTXU",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Enrique Leiva
• Dinaisis Leiva, BA
• Eduardo Esteban Leiva
• Julie Destiny Leiva, RBT
• Lucia Veronica Leiva
• Veronica Leiva, MS, RD, LDN
• William E. Leiva
• Arsenio Leizan, PA
• Lejeune Dental Office,Inc.
• Lejeune Orthopedic Associates P a

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.