Active NPI
Rose Leung, PSY.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1942892617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 011077
- Practice address
- 231 Norman Ave Ste 314
Brooklyn, NY 11222-1559 - Phone
- (631) 291-2825
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011077 | NY | Primary |
Addresses
Primary practice location
231 Norman Ave Ste 314
Brooklyn, NY 11222-1559
Mailing address
12225 Regal Springs CT
Las Vegas, NV 89138-1121
Phone (631) 291-2825
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011077 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1942892617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12225 REGAL SPRINGS CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891381121",
"telephone_number": "631-291-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 NORMAN AVE STE 314",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112221559",
"telephone_number": "631-291-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "ROSE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "011077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.