Leonard Travaglione, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

011531 Issued in NY

Practice address

300 Washington Avenue Ext
Albany, NY 12203-7303

Phone

(518) 392-7314

Fax

(518) 862-2175

NPI assigned

Sep 23, 2006

Last updated

Jun 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1750481495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-392-7314",
            "fax_number": "518-862-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-392-7314",
            "fax_number": "518-862-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVAGLIONE",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "011531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "011531",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "134284",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01416760",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01905259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinh Tram, CRNA
• Charles M Tramontana, DDS
• Lynn Thyngoc Tran-Foster, FNP-BC
• Tri Van Tran, MD
• John Traudt, DC
• Thomas M Traver, RPH
• John Peter Traversone Jr., MD
• Amanda Josephine Travis, RD
• Evelyn Trawinski, MS, RDN
• Roberta Beth Traynor, FNPC

• Clinical Neuropsychologist in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.