Active NPI
Lekeisha Sumner, PHD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1013295625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5710
- Practice address
- 921 Westwood Blvd
#204
Los Angeles, CA 90024-2944 - Phone
- (323) 393-0423
- Fax
- (310) 824-0839
- NPI assigned
- Jul 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22662 | CA | |
| Clinical Psychologist | 103TC0700X | 5710 | NC | Primary |
Addresses
Primary practice location
921 Westwood Blvd
#204
Los Angeles, CA 90024-2944
Mailing address
3000 Octavia Dr
Rocky Mount, NC 27804-8162
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1013295625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 OCTAVIA DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 WESTWOOD BLVD",
"address_2": "#204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242944",
"telephone_number": "323-393-0423",
"fax_number": "310-824-0839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "LEKEISHA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-31",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "22662",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.