Active NPI
Lissette Alejandra Leon, M.D.
- Psychiatry Physician
- Scarsdale, NY
National Provider Identifier
1649407784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 256377
- Practice address
- 14 Harwood CT
Suite 303
Scarsdale, NY 10583-4121 - Phone
- (914) 620-2173
- Fax
- (866) 884-3385
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 256377 | NY | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | 256377 | NY |
Addresses
Primary practice location
14 Harwood CT
Suite 303
Scarsdale, NY 10583-4121
Mailing address
14 Harwood CT
Suite 303
Scarsdale, NY 10583-4121
Phone (914) 620-2173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 1, 2016 through May 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003204 | NY | MD | Behavioral Analyst |
| 256377 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Past | Accepting new patients | |
| Montefiore Medical Center | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1649407784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 HARWOOD CT",
"address_2": "SUITE 303",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105834121",
"telephone_number": "914-620-2173",
"fax_number": "866-884-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 HARWOOD CT",
"address_2": "SUITE 303",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105834121",
"telephone_number": "914-620-2173",
"fax_number": "866-884-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "LISSETTE",
"middle_name": "ALEJANDRA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "256377",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "256377",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.