Active NPI
Jacob Leivent, M.D
- Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 289817-1
- 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
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 |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 289817-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Tulare | Current | Accepting new patients | |
| County of Tulare | Current | Accepting new patients | |
| Traditions Psychiatry Group, P.C | Psychiatry | Current | Accepting new patients |
| New York Gracie Square Hospital Inc | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1407304678
-
- Psychiatric Hospital
- New York, NY
- NPI 1215911946
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1083802979
-
- Community/Behavioral Health Agency
- Porterville, CA
- NPI 1518418581
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Visalia, CA
- NPI 1770529752
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.