Michael H. Leblond, PH.D., M.B.A,

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY9374 Issued in FL

Practice address

8023 Royal Birkdale Cir
Lakewood Ranch, FL 34202-2539

Phone

(303) 910-5722

NPI assigned

Mar 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Philosophy

State licenses

Practice roles

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.

• Life Change Institute, LLC

  • Adult Mental Health Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1548014970
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1063710952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 ROYAL BIRKDALE CIR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022539",
            "telephone_number": "303-910-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 ROYAL BIRKDALE CIR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022539",
            "telephone_number": "303-910-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLOND",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.B.A,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY9374",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "LP03274",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "PSY0003871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Laporta, MA
• Shoshana Lapping
• Earl R Larson, D.D.S.
• Rose Hoang Le, D.M.D.
• Josephine Mary Leavy, O.T.
• Keilani Yvonne Lebron
• Lee Health and Wellness, Inc
• Bruce Lee Jr., DC
• Jason M Lee
• Brittany Nicole Leeper, DMD

• Counseling Psychologist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.