Individual provider Active NPI

Leslie A Loubier, PSY.D.

  • Clinical Psychologist
  • Montrose, CA
National Provider Identifier
1023261393
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20006 Issued in CA
Practice address
2490 Honolulu Ave
Suite 135
Montrose, CA 91020-1800
Phone
(818) 249-4300
NPI assigned
Oct 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20006 CA Primary
Exercise & Sports Psychologist 103TE1100X PSY20006 CA
Health Psychologist 103TH0004X PSY20006 CA

Addresses

Primary practice location

2490 Honolulu Ave
Suite 135
Montrose, CA 91020-1800

Mailing address

2490 Honolulu Ave
Suite 135
Montrose, CA 91020-1800
Phone (818) 249-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 7, 2019 through Jan 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20006CAMDClinical Psychologist
PSY20006CAMDHealth Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1023261393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HONOLULU AVE",
            "address_2": "SUITE 135",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201800",
            "telephone_number": "818-249-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HONOLULU AVE",
            "address_2": "SUITE 135",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201800",
            "telephone_number": "818-249-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUBIER",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20006",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CA",
            "license": "PSY20006",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY20006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.