Individual provider Active NPI

Leide Porcu, PHD LPSA

  • Psychoanalysis Psychologist
  • New York, NY
National Provider Identifier
1497786404
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
000210-1 Issued in NY
Practice address
303 5TH Ave RM 1309
New York, NY 10016-6646
Phone
(212) 929-7724
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X 000210-1 NY Primary

Addresses

Primary practice location

303 5TH Ave RM 1309
New York, NY 10016-6646

Mailing address

303 5TH Ave RM 1309
New York, NY 10016-6646
Phone (212) 929-7724

Other names 1

  • Dr. Leide Porcu Professional name

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
000210-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1497786404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166646",
            "telephone_number": "212-929-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166646",
            "telephone_number": "212-929-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCU",
        "first_name": "LEIDE",
        "credential": "PHD LPSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "000210-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIDE",
            "last_name": "PORCU",
            "prefix": "DR.",
            "credential": "PHD LPSA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.