Active NPI
Layla Providente, SCHOOL PSYCHOLOGIST
- School Psychologist
- Massapequa, NY
National Provider Identifier
1376215046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 2 Seneca St W
Massapequa, NY 11758-7420 - Phone
- (631) 742-2237
- NPI assigned
- Oct 1, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
2 Seneca St W
Massapequa, NY 11758-7420
Mailing address
2 Seneca St W
Massapequa, NY 11758-7420
Phone (631) 742-2237
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1376215046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SENECA ST W",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117587420",
"telephone_number": "631-742-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SENECA ST W",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117587420",
"telephone_number": "631-742-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVIDENTE",
"first_name": "LAYLA",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.