Individual provider Active NPI

Nina Bel Leezenbaum, PHD

  • Psychologist
  • Asheville, NC
National Provider Identifier
1023511003
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5900 Issued in NC
Practice address
100 Technology Dr Ste a
Asheville, NC 28803-5009
Phone
(919) 445-7019
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5900 NC Primary

Addresses

Primary practice location

100 Technology Dr Ste a
Asheville, NC 28803-5009

Mailing address

100 Technology Dr Ste a
Asheville, NC 28803-5009
Phone (919) 445-7019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514000105 NC Practitioner - Clinical Psychologist 1052720471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5900NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Apr 29, 2021 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Apr 29, 2021 Accepting new patients

Locations

100 Technology Dr
Ste A
Asheville, NC 28803
Phone (828) 251-6319

100 Renee Lynn Ct
Carrboro, NC 27510
Phone (919) 966-5156

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

8401 University Exec Park Dr
Ste 100
Charlotte, NC 28262
Phone (919) 445-2365

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4301 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 445-5800

Interoperability endpoints

  • Direct secure messaging: nleezenbaum140862@direct.unc.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1023511003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY DR STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035009",
            "telephone_number": "919-445-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY DR STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035009",
            "telephone_number": "919-445-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEZENBAUM",
        "first_name": "NINA",
        "middle_name": "BEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.