Individual provider Active NPI

Leah Esther- Simone Hallow, PSY D

  • Psychologist
  • Troy, NY
National Provider Identifier
1942676218
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020844 Issued in NY
Practice address
2001 5TH Ave
Suite 110
Troy, NY 12180-3482
Phone
(518) 687-1960
Fax
(518) 687-1970
NPI assigned
Aug 20, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020844 NY Primary

Addresses

Primary practice location

2001 5TH Ave
Suite 110
Troy, NY 12180-3482

Mailing address

2001 5TH Ave
Suite 110
Troy, NY 12180-3482
Phone (518) 687-1960

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Physician Services, PC PastSince Sep 7, 2015 Accepting new patients

Organizations & group practices 1

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1942676218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 5TH AVE",
            "address_2": "SUITE 110",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803482",
            "telephone_number": "518-687-1960",
            "fax_number": "518-687-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 5TH AVE",
            "address_2": "SUITE 110",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803482",
            "telephone_number": "518-687-1960",
            "fax_number": "518-687-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOW",
        "first_name": "LEAH",
        "middle_name": "ESTHER- SIMONE",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.