STACI LEAVITT MIND & BODY INC NPI 1548097819

NPI Information

  • NPI: 1548097819
  • Provider Name: STACI LEAVITT MIND & BODY INC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 27 MCGOVERN DR
    MELVILLE, NY
    ZIP 11747
  • Phone: (516) 433-1456

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NPI Details

STACI LEAVITT MIND & BODY INC is a dietitian registered in Melville, NY. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. STACI LEAVITT MIND & BODY INC NPI is 1548097819. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27 MCGOVERN DR
MELVILLE, NY
ZIP 11747-258
Phone: (516) 433-1456

The provider's authorized official is Staci Leavitt Davidson .
The authorized official title is President and has the following contact phone number (516) 433-1456.

The enumeration date for this NPI number is 9/19/2024 and was last updated on 9/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2103T00000XPsychologistNo
31041C0700XSocial WorkerClinicalNo
4133V00000XDietitian, RegisteredYes
5133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
6171400000XHealth and Wellness CoachNo
7261Q00000XClinic/CenterNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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