Active NPI
Kimberley Linda Leduc
- Clinical Psychologist
- Lancaster, CA
National Provider Identifier
1073591707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 19083
- Practice address
- 43301 Division St
Suite 104
Lancaster, CA 93535-4647 - Phone
- (661) 312-8054
- Fax
- (661) 948-3484
- NPI assigned
- Jan 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 19083 | CA | Primary |
Addresses
Primary practice location
43301 Division St
Suite 104
Lancaster, CA 93535-4647
Mailing address
28180 Smyth Dr
Suite 204
Valencia, CA 91355-4066
Phone (661) 312-8054
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 19083 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene Morong, M.D., a Professional Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Lancaster, CA
- NPI 1023310893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1073591707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28180 SMYTH DR",
"address_2": "SUITE 204",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554066",
"telephone_number": "661-312-8054",
"fax_number": "661-948-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43301 DIVISION ST",
"address_2": "SUITE 104",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354647",
"telephone_number": "661-312-8054",
"fax_number": "661-948-3484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDUC",
"first_name": "KIMBERLEY",
"middle_name": "LINDA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 19083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.