Individual provider Active NPI

Abby Elizabeth Leaty, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1972227551
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404486 Issued in NY
Practice address
595 Blossom Rd Ste 202
Rochester, NY 14610-1863
Phone
(585) 652-8080
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404486 NY Primary

Addresses

Primary practice location

595 Blossom Rd Ste 202
Rochester, NY 14610-1863

Mailing address

595 Blossom Rd Ste 202
Rochester, NY 14610-1863
Phone (585) 652-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117002308 NY Practitioner - Nurse Practitioner 3678942109 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gavia Lifecare Center, LLC CurrentSince Oct 28, 2023 Accepting new patients
Child Care Council, Inc. CurrentSince Dec 11, 2024 Accepting new patients

Locations

595 Blossom Rd
Ste 120
Rochester, NY 14610
Phone (585) 652-8087

595 Blossom Rd
Ste 202
Rochester, NY 14610
Phone (585) 652-8080

1081 Long Pond Rd
Ste 100
Rochester, NY 14626
Phone (585) 371-6464

1081 Long Pond Rd
Ste 140
Rochester, NY 14626
Phone (585) 210-0994

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1972227551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BLOSSOM RD STE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101863",
            "telephone_number": "585-652-8080",
            "fax_number": "585-652-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BLOSSOM RD STE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101863",
            "telephone_number": "585-652-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATY",
        "first_name": "ABBY",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.