Active NPI
Leah Kathryn Phaneuf, PHD
- Psychologist
- Syracuse, NY
National Provider Identifier
1598992901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018550
- Practice address
- 600 East Genesee St
Suite 130
Syracuse, NY 13202 - Phone
- (315) 464-3103
- Fax
- (315) 464-3944
- NPI assigned
- Jun 12, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018550 | NY | Primary |
Addresses
Primary practice location
600 East Genesee St
Suite 130
Syracuse, NY 13202
Mailing address
251 Salina Meadows Pkwy
Suite 100
Syracuse, NY 13212
Phone (315) 464-2000
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 Philosophy
Interoperability endpoints
- leah.phaneuf.p1@direct.liberty-resources.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1598992901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SALINA MEADOWS PKWY",
"address_2": "SUITE 100",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13212",
"telephone_number": "315-464-2000",
"fax_number": "315-464-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST GENESEE ST",
"address_2": "SUITE 130",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-464-3103",
"fax_number": "315-464-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHANEUF",
"first_name": "LEAH",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.