Active NPI
Leif Griffin, PSYD
- Clinical Psychologist
- Mamaroneck, NY
National Provider Identifier
1518333913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 025233
- Practice address
- 180 E Prospect Ave Ste 1002
Mamaroneck, NY 10543-3709 - Phone
- (510) 898-8806
- NPI assigned
- Aug 19, 2015
- Last updated
- Jul 10, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31909 | CA | |
| Clinical Psychologist | 103TC0700X | 025233 | NY | Primary |
Addresses
Primary practice location
180 E Prospect Ave Ste 1002
Mamaroneck, NY 10543-3709
Mailing address
180 E Prospect Ave Ste 1002
Mamaroneck, NY 10543-3709
Phone (510) 898-8806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 8, 2024 through Nov 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31909 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1518333913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 E PROSPECT AVE STE 1002",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433709",
"telephone_number": "510-898-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E PROSPECT AVE STE 1002",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433709",
"telephone_number": "510-898-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "LEIF",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31909",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "025233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.