North Country Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTH COUNTRY PSYCHOLOGICAL SERVICES

Practice address

42 1/2 Elm St
Potsdam, NY 13676-1813

Phone

(315) 261-9210

NPI assigned

Dec 19, 2022

Last updated

Feb 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Desiree A Leboeuf, PHDNPI 1588999460

Title

Licensed Psychologist

Phone

(315) 261-9210

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Desiree A Leboeuf, PHD

  • Psychologist
  • Canton, NY
  • NPI 1588999460
  NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706918400000",
    "number": "1033821210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 STATE ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171026",
            "telephone_number": "315-261-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 1/2 ELM ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761813",
            "telephone_number": "315-261-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 State St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136171026",
            "country_code": "US",
            "telephone_number": "315-261-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH COUNTRY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "LEBOEUF",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "315-261-9210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07748561",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT. OF EDU.",
            "identifier": "022976",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.nocopsych.org",
            "affiliation": "N",
            "endpointDescription": "NoCo Psych",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Appointment request link",
            "address_1": "74 State St",
            "city": "Canton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136171026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychologist in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.