Individual provider Active NPI

Robert Leblang, PHD

  • Psychologist
  • Hewlett, NY
National Provider Identifier
1376504209
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8839 Issued in NY
Practice address
1724 Huntley PL
Hewlett, NY 11557-1807
Phone
(516) 374-5044
Fax
(516) 374-5044
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8839 NY Primary

Addresses

Primary practice location

1724 Huntley PL
Hewlett, NY 11557-1807

Mailing address

1724 Huntley PL
Hewlett, NY 11557-1807
Phone (516) 374-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000204 NY Practitioner - Clinical Psychologist 2365627213 Practice locations: Hewlett, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8839NYMDPsychologist
008839NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients
Biofeedback & Psychotherapy Development LCSW Health Services PC CurrentSince Aug 1, 2011 Accepting new patients

Locations

5 Sunrise Plz
Ste 202
Valley Stream, NY 11580
Phone (516) 822-9057

Interoperability endpoints

  • Direct secure messaging: robertleblang@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1376504209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HUNTLEY PL",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571807",
            "telephone_number": "516-374-5044",
            "fax_number": "516-374-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HUNTLEY PL",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571807",
            "telephone_number": "516-374-5044",
            "fax_number": "516-374-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANG",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "8839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.