Active NPI
Samantha Leeman
- School Psychologist
- New Albany, OH
National Provider Identifier
1063984151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 21589414
- Practice address
- 7971 E Dublin Granville Rd
New Albany, OH 43054-9793 - Phone
- (614) 256-8873
- NPI assigned
- Dec 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | |||
| Mental Health Counselor | 101YM0800X | |||
| School Psychologist | 103TS0200X | 21589414 | OH | Primary |
Addresses
Primary practice location
7971 E Dublin Granville Rd
New Albany, OH 43054-9793
Mailing address
7971 E Dublin Granville Rd
New Albany, OH 43054-9793
Phone (614) 256-8873
Other practice location 1
92 Northwoods Blvd
Columbus, OH 43235-4720
Phone (614) 256-8873
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21589414 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546041600000",
"number": "1063984151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7971 E DUBLIN GRANVILLE RD",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430549793",
"telephone_number": "614-256-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7971 E DUBLIN GRANVILLE RD",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430549793",
"telephone_number": "614-256-8873"
}
],
"practiceLocations": [
{
"address_1": "92 Northwoods Blvd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432354720",
"country_code": "US",
"telephone_number": "614-256-8873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEEMAN",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-29",
"last_updated": "2018-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "21589414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.