Lagos Biofeedback

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00505100 Issued in NY

Legal business name

LAGOS BIOFEEDBACK

Practice address

635 Madison Ave
4TH FL
New York, NY 10022-1009

Phone

(646) 770-1702

NPI assigned

Dec 19, 2013

Last updated

Dec 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leah M LagosNPI 1699050427

Title

(Psy. D

Phone

(646) 770-1702

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah M Lagos, PSY.D, B.C.B

  • Clinical Psychologist
  • New York, NY
  • NPI 1699050427
  Authorized official Same address or phone

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1912328881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE",
            "address_2": "4TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE",
            "address_2": "4TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "646-770-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGOS BIOFEEDBACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "LAGOS",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "(PSY. D",
        "authorized_official_telephone_number": "646-770-1702"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "35SI00505100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Lee Lagdamen, NP
• Daniel E. Lage, MD
• Matthew Laghezza, P.A.
• Sheri J Lagin, MD
• Portia Lagmay-Fuentes, MS, APN-C
• Briget Crystal Lagos
• Leah M Lagos, PSY.D, B.C.B
• Noelia Suheily Lagos
• Beth Lagrange, PH.D.
• Maria Divina Lagratta, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.