Leslie Haco Alhadeff, M.D., M.P.H.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

G53660 Issued in CA

Practice address

41865 Boardwalk
Suite 204
Palm Desert, CA 92211-9026

Phone

(760) 674-0331

Fax

(760) 674-0332

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2016 through Mar 28, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073633103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41865 BOARDWALK",
            "address_2": "SUITE 204",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119026",
            "telephone_number": "760-674-0331",
            "fax_number": "760-674-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41865 BOARDWALK",
            "address_2": "SUITE 204",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119026",
            "telephone_number": "760-674-0331",
            "fax_number": "760-674-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHADEFF",
        "first_name": "LESLIE",
        "middle_name": "HACO",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "G53660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Palm Desert, CA
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.