Corrine Marie Leikam, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30262 Issued in CA

Practice address

15235 Burbank Blvd Ste B4
Van Nuys, CA 91411-3556

Phone

(213) 927-6770

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Corrine Marie Barner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1003370941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3181",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913590181",
            "telephone_number": "818-324-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 BURBANK BLVD STE B4",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113556",
            "telephone_number": "213-927-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIKAM",
        "first_name": "CORRINE",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRINE",
            "last_name": "BARNER",
            "middle_name": "MARIE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Legacy Home Health Care LLC
• Legacy Hospice Inc.
• Edwin Kenneth Legarreta
• Michael David Legmann, M.D.
• Adrienne M. Leguizamo
• Jossary Michelle Leiva
• Lekar Home Health Care Inc
• Apostolos Anthony Lekkos, DO
• Cindy E Lemus
• Veronica Lemus

• Clinical Psychologist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.