Active NPI
Lea Elizabeth Defrancisci, MD
- Child & Adolescent Psychiatry Physician
- Southampton, NY
National Provider Identifier
1417155243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 238337
- Practice address
- 46 Main St
Southampton, NY 11968-4864 - Phone
- (631) 204-6984
- NPI assigned
- Jul 3, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 238337 | NY | Primary |
Addresses
Primary practice location
46 Main St
Southampton, NY 11968-4864
Mailing address
46 Main St
Southampton, NY 11968-4864
Phone (631) 204-6984
Other names 1
- Lea Defrancisci Lis
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238337 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfulkid Child Psychiatry PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Southampton, NY
- NPI 1932064078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1417155243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 MAIN ST",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684864",
"telephone_number": "631-204-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 MAIN ST",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684864",
"telephone_number": "631-204-6984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFRANCISCI",
"first_name": "LEA",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "238337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEA",
"last_name": "LIS",
"middle_name": "DEFRANCISCI",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.