Active NPI
Leonard Speisman, PHD
- Psychologist
- Miami, FL
National Provider Identifier
1386874071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY02813
- Practice address
- 11417 SW 86TH LN
Miami, FL 33173-4219 - Phone
- (305) 271-7300
- NPI assigned
- Jul 16, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY02813 | FL | Primary |
Addresses
Primary practice location
11417 SW 86TH LN
Miami, FL 33173-4219
Mailing address
11417 SW 86TH LN
Miami, FL 33173-4219
Phone (305) 271-7300
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY02813 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1386874071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11417 SW 86TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734219",
"telephone_number": "305-271-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11417 SW 86TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734219",
"telephone_number": "305-271-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEISMAN",
"first_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY02813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.