Individual provider Active NPI

Leeanne D Hemenway, PHD

  • Clinical Psychologist
  • Reno, NV
National Provider Identifier
1033372115
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0736 Issued in NV
Practice address
495 Apple St Ste 100
Reno, NV 89502-3527
Phone
(775) 525-0270
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 660 NV
Clinical Psychologist 103TC0700X 0736 NV Primary

Addresses

Primary practice location

495 Apple St Ste 100
Reno, NV 89502-3527

Mailing address

210 Marsh Ave
Suite 100
Reno, NV 89509-1647
Phone (775) 322-4003

Other practice location 1

210 Marsh Ave
Suite 100
Reno, NV 89509-1647
Phone (775) 322-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160127001748 NV Practitioner - Clinical Psychologist 5991008898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renovation Mental Health Services LLCGroup PAC ID 9638395080, 2 clinicians

Practice addresses (Care Compare)

495 Apple St
Suite 100
Reno, NV 89502-3527
Phone (775) 525-0270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0736NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renovation Mental Health Services, LLC CurrentSince Dec 19, 2015 Accepting new patients
Yvette Kaunismaki M.D., P.C. Marriage & Family Therapist CurrentSince May 17, 2020 Accepting new patients
Agape Psychological Services Clinical Past Accepting new patients

Locations

495 Apple St
Ste 100
Reno, NV 89502
Phone (775) 525-0270

255 W Moana Ln
Ste 104
Reno, NV 89509
Phone (775) 525-0270

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1033372115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MARSH AVE",
            "address_2": "SUITE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091647",
            "telephone_number": "775-322-4003",
            "fax_number": "775-322-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 APPLE ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023527",
            "telephone_number": "775-525-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Marsh Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895091647",
            "country_code": "US",
            "telephone_number": "775-322-4003",
            "fax_number": "775-322-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMENWAY",
        "first_name": "LEEANNE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "660",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "0736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.