Active NPI
Leslie Beth Swanson, PSY.D.
- Clinical Psychologist
- Naples, FL
National Provider Identifier
1013122530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6313
- Practice address
- 11983 Tamiami TRL N
Suite #132
Naples, FL 34110-1603 - Phone
- (239) 649-6010
- Fax
- (239) 598-1417
- NPI assigned
- May 10, 2007
- Last updated
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY6313 | FL | |
| Clinical Psychologist | 103TC0700X | PY6313 | FL | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY6313 | FL | |
| Family Psychologist | 103TF0000X | PY6313 | FL | |
| Forensic Psychologist | 103TF0200X | PY6313 | FL |
Addresses
Primary practice location
11983 Tamiami TRL N
Suite #132
Naples, FL 34110-1603
Mailing address
11983 Tamiami TRL N
Suite #132
Naples, FL 34110-1603
Phone (239) 649-6010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6313 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1013122530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11983 TAMIAMI TRL N",
"address_2": "SUITE #132",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101603",
"telephone_number": "239-649-6010",
"fax_number": "239-598-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11983 TAMIAMI TRL N",
"address_2": "SUITE #132",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101603",
"telephone_number": "239-649-6010",
"fax_number": "239-598-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "LESLIE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY6313",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6313",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY6313",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "FL",
"license": "PY6313",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "FL",
"license": "PY6313",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.