Individual provider Active NPI

Alexandria Leedy, PSY.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1053594770
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21744 Issued in CA
Practice address
1050 Queen St Ste 100
Honolulu, HI 96814-4130
Phone
(808) 672-2024
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY21744 CA
Adult Development & Aging Psychologist 103TA0700X PSY21744 CA
Clinical Psychologist 103TC0700X PSY21744 CA Primary

Addresses

Primary practice location

1050 Queen St Ste 100
Honolulu, HI 96814-4130

Mailing address

95-390 Kuahelani Ave Ste 3Ac
Mililani, HI 96789-1190
Phone (808) 672-2024

Other practice location 1

2250 Union St Ste 306
San Francisco, CA 94123-3900
Phone (415) 356-9897

Other practice location 2

95-390 Kuahelani Ave Ste 3Ac
Mililani, HI 96789
Phone (808) 672-2024

Other names 1

  • Alexandria Pierini Former 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY21744CAMDClinical Psychologist
21744CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1053594770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE STE 3AC",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891190",
            "telephone_number": "808-672-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 QUEEN ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144130",
            "telephone_number": "808-672-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Union St Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941233900",
            "country_code": "US",
            "telephone_number": "415-356-9897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95-390 Kuahelani Ave Ste 3Ac",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "96789",
            "country_code": "US",
            "telephone_number": "808-672-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEDY",
        "first_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21744",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY21744",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "PIERINI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.