Individual provider Active NPI

Leah Blumenthal, PSYD

  • Psychologist
  • Airmont, NY
National Provider Identifier
1548924541
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024625 Issued in NY
Practice address
404 Route 59
Airmont, NY 10952-3429
Phone
(845) 425-5252
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024625 NY Primary

Addresses

Primary practice location

404 Route 59
Airmont, NY 10952-3429

Mailing address

39-18 Knott Ter
Fair Lawn, NJ 07410-5309

Other practice location 1

25 Robert Pitt Dr
Monsey, NY 10952-3365
Phone (845) 425-5252 ext. 1318

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

State licenses

LicenseStateTypeSpecialty
024625NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1548924541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39-18 KNOTT TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ROUTE 59",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523429",
            "telephone_number": "845-425-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Robert Pitt Dr",
            "address_purpose": "LOCATION",
            "city": "Monsey",
            "state": "NY",
            "postal_code": "109523365",
            "country_code": "US",
            "telephone_number": "845-425-5252 x1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUMENTHAL",
        "first_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.