Individual provider Active NPI

Brian K. Leggiere, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1609927540
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013741-1 Issued in NY
Practice address
120 Riverside Dr
2W
New York, NY 10024-3709
Phone
(212) 362-9098
NPI assigned
Jan 16, 2007
Last updated
May 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 013741-1 NY Primary

Addresses

Primary practice location

120 Riverside Dr
2W
New York, NY 10024-3709

Mailing address

120 Riverside Dr
2W
New York, NY 10024-3709
Phone (212) 362-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040529000043 NY Practitioner - Clinical Psychologist 3779564273 Practice locations: Kingston, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

224 Fair St
Kingston, NY 12401-4561
Phone (646) 957-4879

295 Central Park W
New York, NY 10024-3008
Phone (646) 957-4879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
013741-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychassociates LLP Psychologist Past Accepting new patients
Aging Matters Psychological Services, PC Psychologist PastSince Mar 1, 2006 Accepting new patients
Enhanced Medical Care PC Past Accepting new patients
Enhanced Psychological Care PC Past Accepting new patients
On-Site Psychological Services PC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1609927540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RIVERSIDE DR",
            "address_2": "2W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243709",
            "telephone_number": "212-362-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIVERSIDE DR",
            "address_2": "2W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243709",
            "telephone_number": "212-362-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGIERE",
        "first_name": "BRIAN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013741-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.