Individual provider Active NPI

Jacob Leivent, M.D

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1326452756
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
289817-1 Issued in NY
Practice address
527 Court St Ste C2
Brooklyn, NY 11231-4454
Phone
(516) 430-8792
Fax
(252) 216-4963
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 289817-1 NY Primary

Addresses

Primary practice location

527 Court St Ste C2
Brooklyn, NY 11231-4454

Mailing address

838 Savannah Cir
Walnut Creek, CA 94598-1618
Phone (516) 430-8792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171229000132 NY Practitioner - Psychiatry 1557629284 Reassigns benefits to 1 organization
I20180817002244 CA Practitioner - Psychiatry 1557629284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of TulareGroup PAC ID 1456264555, 32 clinicians

Practice addresses (Care Compare)

520 E Tulare Ave
Visalia, CA 93292-3629
Phone (559) 623-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
289817-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare CurrentSince Mar 11, 2021 Accepting new patients
County of Tulare CurrentSince Mar 11, 2021 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince Feb 20, 2019 Accepting new patients
New York Gracie Square Hospital Inc CurrentSince Nov 12, 2017 Accepting new patients
County of Tulare Current Accepting new patients

Locations

1055 W Henderson Ave
Porterville, CA 93257
Phone (559) 788-1200

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

520 E Tulare Ave
Visalia, CA 93292

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

Interoperability endpoints

  • Direct secure messaging: jleivent261749@nychhc.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1326452756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 SAVANNAH CIR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981618",
            "telephone_number": "516-430-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 COURT ST STE C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314454",
            "telephone_number": "516-430-8792",
            "fax_number": "252-216-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVENT",
        "first_name": "JACOB",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "289817-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.