Individual provider Active NPI

Leslie Marshall, PHD

  • School Psychologist
  • Clearwater, FL
National Provider Identifier
1053176438
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1658 Issued in FL
Practice address
1465 S Fort Harrison Ave Ste 204
Clearwater, FL 33756-2504
Phone
(727) 746-5812
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1658 FL Primary

Addresses

Primary practice location

1465 S Fort Harrison Ave Ste 204
Clearwater, FL 33756-2504

Mailing address

1465 S Fort Harrison Ave Ste 204
Clearwater, FL 33756-2504
Phone (727) 746-5812

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
SS1658FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Child Psychology PLLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

1465 S Fort Harrison Ave
Ste 204
Clearwater, FL 33756
Phone (727) 443-4502

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1053176438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 S FORT HARRISON AVE STE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562504",
            "telephone_number": "727-746-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 S FORT HARRISON AVE STE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562504",
            "telephone_number": "727-746-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.