Leah M Lagos, PSY.D, B.C.B

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019086 Issued in NY

Practice address

635 Madison Ave
Third Floor
New York, NY 10022-1009

Phone

(646) 770-1702

NPI assigned

Oct 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1699050427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W 42ND ST",
            "address_2": "APARTMENT 48G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361956",
            "telephone_number": "646-770-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE",
            "address_2": "THIRD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "646-770-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOS",
        "first_name": "LEAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D, B.C.B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Laghezza, P.A.
• Sheri J Lagin, MD
• Portia Lagmay-Fuentes, MS, APN-C
• Lagos Biofeedback
• Briget Crystal Lagos
• Noelia Suheily Lagos
• Beth Lagrange, PH.D.
• Maria Divina Lagratta, M.D.
• Angelo Lagreca, MD
• Christina Lagreca, LCSW

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.