Angela Leach, MD
Individual provider Active NPI Psychiatry Physician · Bronx, NY
NPI 1922015486 · NPPES record last updated Dec 7, 2020
Key facts
- NPI
- 1922015486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 192305 (NY)
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- Fax
- (718) 299-6797
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050709000037 | NY | Practitioner - Psychiatry | 1850327115 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital Yonkers | Current |
Accepting new patients | |
| St. Joseph'S Hospital Yonkers | Current | Accepting new patients | |
| St. Joseph'S Hospital & Medical Center | Current |
Accepting new patients | |
| LMC Physician Services, PC | Psychiatry | Past | Accepting new patients |
| Interfaith Radiology | Past | Accepting new patients |
Locations
275 North St
Harrison, NY 10528
Phone (914) 925-5211
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- aleach1144142@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 192305 | NY | Yes |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401
NPI Registry JSON
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1922015486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 WILLIAMSBRIDGE RD FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104612507",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "ANGELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "192305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Ivy Ann Le
- Jennifer Le
- Marie Elizabeth Le
- Thi Bich Trang Le
- Thuha Minh Le
- Katie Leach
- Rose-Marie L Leachman-Russ
- Lead in Transportation Services
- Aysha Leadbeater
- Hanna D. Leader
All providers in Bronx, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.