Individual provider Active NPI

Catherine Anne Le Blanc, PHD

  • Clinical Child & Adolescent Psychologist
  • Yorktown Heights, NY
National Provider Identifier
1417979378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
016071-1 Issued in NY
Practice address
1884 Railroad Ave
Yorktown Heights, NY 10598-4406
Phone
(914) 245-4269
Fax
(914) 245-4270
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 016071-1 NY Primary

Addresses

Primary practice location

1884 Railroad Ave
Yorktown Heights, NY 10598-4406

Mailing address

221 Sandpiper CT
Yorktown Heights, NY 10598-1968
Phone (914) 245-3747

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

LicenseStateTypeSpecialty
016071-1NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417979378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SANDPIPER CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981968",
            "telephone_number": "914-245-3747",
            "fax_number": "914-245-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 RAILROAD AVE",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984406",
            "telephone_number": "914-245-4269",
            "fax_number": "914-245-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE BLANC",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "016071-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.