Active NPI
Leland De Evoli, DO
- Psychiatry Physician
- Fishkill, NY
National Provider Identifier
1669453528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 125381-1
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00603163 | Medicaid | NY |
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.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125381 | NY | MD | Social Worker |
| 125381-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexis Crisafi, MSN, Psychiatric NP, PLLC | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fishkill, NY
- NPI 1689215584
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1528167442
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.