Organization Active NPI

Gisela Garcia- Leyva MD PA

  • Psychiatry Physician
  • St Petersburg, FL
National Provider Identifier
1972647634
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0036410 Issued in FL
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

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Gisela Garcia Leyva, MDNPI 1871550509
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME0036410 FL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20110224000767 FL Part B Supplier - Clinic/Group Practice 5294916144 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL; St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.