Healthcare Provider Details

I. General information

NPI: 1932956885
Provider Name (Legal Business Name): LEAH HOTCHKISS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COLUMBUS CIR
NEW YORK NY
10019-1412
US

IV. Provider business mailing address

35 EASTERN PKWY APT 1B
BROOKLYN NY
11238-5615
US

V. Phone/Fax

Practice location:
  • Phone: 203-564-6500
  • Fax:
Mailing address:
  • Phone: 203-564-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number36143
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number027508
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: