Active NPI
Gisela Garcia- Leyva MD PA
- Psychiatry Physician
- St Petersburg, FL
National Provider Identifier
1972647634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0036410
- Legal business name
- GISELA GARCIA- LEYVA MD PA
- Practice address
- 211 4TH Ave N
St Petersburg, FL 33701-2911 - Phone
- (727) 823-8366
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gisela Garcia Leyva, MD
- Title
- President
- Phone
- (727) 823-5555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0036410 | FL | Primary |
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
211 4TH Ave N
St Petersburg, FL 33701-2911
Mailing address
211 4TH Ave N
St Petersburg, FL 33701-2911
Phone (727) 823-8366
Other practice location 1
11961 N Florida Ave Ste A
Tampa, FL 33612-5213
Phone (813) 931-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11961 N Florida Ave
Ste A
Tampa, FL 33612
Phone (813) 931-0333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- St Petersburg, FL
- NPI 1871550509
-
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
- NPI 1396136768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1972647634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 4TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337012911",
"telephone_number": "727-823-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 4TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337012911",
"telephone_number": "727-823-8366"
}
],
"practiceLocations": [
{
"address_1": "11961 N Florida Ave Ste A",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336125213",
"country_code": "US",
"telephone_number": "813-931-0333",
"fax_number": "813-354-2490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GISELA GARCIA- LEYVA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "GARCIA LEYVA",
"authorized_official_first_name": "GISELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-823-5555",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0036410",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.