Individual provider Active NPI

Helena M Leet Pellegrini, PHD

  • Psychologist
  • Wayland, MA
National Provider Identifier
1033398862
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2506 Issued in MA
Practice address
61 Sherman Bridge Rd
Wayland, MA 01778
Phone
(508) 358-5158
Fax
(508) 358-0186
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2506 MA Primary

Addresses

Primary practice location

61 Sherman Bridge Rd
Wayland, MA 01778

Mailing address

61 Sherman Bridge Rd
Wayland, MA 01778
Phone (508) 358-5158

Other identifiers 1

IdentifierTypeStateIssuer
W02622OtherBCBS

Other names 1

  • Helena P Leet Other name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2506MAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1033398862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SHERMAN BRIDGE RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "01778",
            "telephone_number": "508-358-5158",
            "fax_number": "508-358-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SHERMAN BRIDGE RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "01778",
            "telephone_number": "508-358-5158",
            "fax_number": "508-358-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEET PELLEGRINI",
        "first_name": "HELENA",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W02622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELENA",
            "last_name": "LEET",
            "middle_name": "P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.