Individual provider Active NPI

Daniel B Legoff, PHD

  • Psychologist
  • Sanford, NC
National Provider Identifier
1982769212
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY-10075 Issued in FL
Practice address
500 Westover Dr Ste 13619
Sanford, NC 27330-8941
Phone
(323) 676-7425
NPI assigned
Dec 27, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY-10075 FL
Psychologist 103T00000X PY-10075 FL Primary
Clinical Child & Adolescent Psychologist 103TC2200X PY-10075 FL

Addresses

Primary practice location

500 Westover Dr Ste 13619
Sanford, NC 27330-8941

Mailing address

2801 NE 23Rd PL
Pompano Beach, FL 33062-1135
Phone (808) 277-6441

Other practice location 1

2801 NE 23rd Pl
Pompano Beach, FL 33062-1135
Phone (808) 277-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180530000911 FL Practitioner - Clinical Psychologist 3870539216 Reassigns benefits to 1 organization
I20250130001457 CT Practitioner - Clinical Psychologist 3870539216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Neuropsychology LLCGroup PAC ID 3375602931, 16 clinicians

Practice addresses (Care Compare)

609 W Johnson Ave
Suite 104
Cheshire, CT 06410-4506
Phone (203) 272-6007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY-10075FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Neuropsychology, LLC Clinical Neuropsychologist CurrentSince Nov 4, 2024 Accepting new patients
Advanced Telepsych PLLC CurrentSince Jul 12, 2024 Accepting new patients

Locations

609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007

231 Farmington Ave
Fl 3
Farmington, CT 06032
Phone (888) 344-3893

389 Palm Coast Pkwy SW
Unit 3A
Palm Coast, FL 32137
Phone (888) 344-3893

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, 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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1982769212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NE 23RD PL",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621135",
            "telephone_number": "808-277-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTOVER DR STE 13619",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308941",
            "telephone_number": "323-676-7425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 NE 23rd Pl",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330621135",
            "country_code": "US",
            "telephone_number": "808-277-6441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGOFF",
        "first_name": "DANIEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY-10075",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY-10075",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY-10075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.