Leah Pearl Siskin, PH.D.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

013566-1 Issued in NY

Practice address

7559 263Rd St
Ambulatory Care Pavilion
Glen Oaks, NY 11004-1150

Phone

(718) 470-4696

Fax

(718) 962-7712

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1700090149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARINO AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504208",
            "telephone_number": "516-883-3361",
            "fax_number": "718-962-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 263RD ST",
            "address_2": "AMBULATORY CARE PAVILION",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041150",
            "telephone_number": "718-470-4696",
            "fax_number": "718-962-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISKIN",
        "first_name": "LEAH",
        "middle_name": "PEARL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "013566-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Singh, PA-C
• Sukhvinder Singh, PHARM.D.
• Vrinda Singh
• Raman Singhal, M.D.
• Samuel Gidding Siris, MD
• Sharon Skariah, M.D.
• Tiana Skawinski, PSY.D.
• Mary-Catherine Skoulos, MD
• David Sloane
• Karen A Small, LCSW

• Adult Development & Aging Psychologist in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Adult Development & Aging Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.