Active NPI
James A Leroy, PH.D.
- Clinical Psychologist
- Surprise, AZ
National Provider Identifier
1013985639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1766
- Practice address
- 12425 W Bell Rd
Suite 200
Surprise, AZ 85378-9006 - Phone
- (623) 374-7774
- Fax
- (623) 240-1110
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1766 | AZ | Primary |
Addresses
Primary practice location
12425 W Bell Rd
Suite 200
Surprise, AZ 85378-9006
Mailing address
12425 W Bell Rd
Suite 200
Surprise, AZ 85378-9002
Phone (623) 374-7774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066672 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1766 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Heart Hospital | Past | Accepting new patients | |
| Banner Psychological Services | Past | Accepting new patients | |
| Banner Behavioral Health - East Valley | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Mesa, AZ
- NPI 1447292214
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gilbert, AZ
- NPI 1831378793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1013985639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12425 W BELL RD",
"address_2": "SUITE 200",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789002",
"telephone_number": "623-374-7774",
"fax_number": "623-240-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12425 W BELL RD",
"address_2": "SUITE 200",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789006",
"telephone_number": "623-374-7774",
"fax_number": "623-240-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "JAMES",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "1766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066672",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.