Individual provider Active NPI

Anna W Leung, PH.D.

  • Psychologist
  • Clifton Park, NY
National Provider Identifier
1902010440
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019713 Issued in NY
Practice address
56 Clifton Country Rd Ste 100
Clifton Park, NY 12065-3994
Phone
(518) 334-6989
NPI assigned
May 10, 2007
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001743 NY
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 019713 NY Primary

Addresses

Primary practice location

56 Clifton Country Rd Ste 100
Clifton Park, NY 12065-3994

Mailing address

5 Solomon CT
Watervliet, NY 12189-1241
Phone (518) 334-6989

Other practice location 1

553 Clinton Ave
Albany, NY 12206-2738
Phone (518) 689-0282 ext. 104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424000277 NY Practitioner - Clinical Psychologist 0749413995 Reassigns benefits to 1 organization
Practice locations: Clifton Park, NY; Watervliet, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

56 Clifton Country Rd
Suite 100
Clifton Park, NY 12065-3994
Phone (518) 334-6989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001743NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tara a Burke Muscatello NP Psychiatry PLLC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Valera Medical, P.C. Mental Health CurrentSince Jun 15, 2020 Accepting new patients
Anchor Physical Therapy, PLLC Single Specialty CurrentSince Oct 12, 2020 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

56 Clifton Country Rd
Ste 100
Clifton Park, NY 12065
Phone (518) 334-6989

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1902010440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SOLOMON CT",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121891241",
            "telephone_number": "518-334-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY RD STE 100",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653994",
            "telephone_number": "518-334-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "553 Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122062738",
            "country_code": "US",
            "telephone_number": "518-689-0282 x104",
            "fax_number": "518-689-0283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "ANNA",
        "middle_name": "W",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001743",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.