Individual provider Active NPI

Leland De Evoli, DO

  • Psychiatry Physician
  • Fishkill, NY
National Provider Identifier
1669453528
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
125381-1 Issued in NY
Practice address
2 Summit CT
Suite 202
Fishkill, NY 12524-1348
Phone
(845) 897-0009
Fax
(845) 897-0009
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125381-1 NY Primary
Addiction Psychiatry Physician 2084P0802X 125381-1 NY

Addresses

Primary practice location

2 Summit CT
Suite 202
Fishkill, NY 12524-1348

Mailing address

2 Summit CT
Suite 202
Fishkill, NY 12524-1348
Phone (845) 897-0009

Other identifiers 1

IdentifierTypeStateIssuer
00603163MedicaidNY

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125381NYMDSocial Worker
125381-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexis Crisafi, MSN, Psychiatric NP, PLLC PastSince Oct 6, 2019 Accepting new patients
Saint Francis Hospital / Medicine 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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669453528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SUMMIT CT",
            "address_2": "SUITE 202",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241348",
            "telephone_number": "845-897-0009",
            "fax_number": "845-897-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUMMIT CT",
            "address_2": "SUITE 202",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241348",
            "telephone_number": "845-897-0009",
            "fax_number": "845-897-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE EVOLI",
        "first_name": "LELAND",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "125381-1",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "125381-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00603163",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.