Individual provider Active NPI

Leah Dezio

  • Marriage & Family Therapist
  • Staten Island, NY
National Provider Identifier
1912803719
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
P130072 Issued in NY
Practice address
1040 W Fingerboard Rd Apt 2
Staten Island, NY 10304-4462
Phone
(917) 544-4456
NPI assigned
Oct 17, 2026
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X P130072 NY Primary

Addresses

Primary practice location

1040 W Fingerboard Rd Apt 2
Staten Island, NY 10304-4462

Mailing address

1040 W Fingerboard Rd Apt 2
Staten Island, NY 10304-4462
Phone (917) 544-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1912803719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W FINGERBOARD RD APT 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044462",
            "telephone_number": "917-544-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W FINGERBOARD RD APT 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044462",
            "telephone_number": "917-544-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZIO",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P130072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.