Active NPI
Marie C Leveille
- School Psychologist
- Brooklyn, NY
National Provider Identifier
1699292730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2664535
- Practice address
- 2625 E 14TH St Ste 200
Brooklyn, NY 11235-3973 - Phone
- (718) 769-2698
- NPI assigned
- Aug 29, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2664535 | NY | Primary |
Addresses
Primary practice location
2625 E 14TH St Ste 200
Brooklyn, NY 11235-3973
Mailing address
3 Harden St
Brooklyn, NY 11234-2900
Phone (718) 338-3908
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2664535 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1699292730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HARDEN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342900",
"telephone_number": "718-338-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 E 14TH ST STE 200",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353973",
"telephone_number": "718-769-2698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVEILLE",
"first_name": "MARIE",
"middle_name": "C",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "2664535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.