Leonard Joseph Weston, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 5789 Issued in CA

Practice address

42525 Rancho Mirage Lane
5682 The Historic Plaza
29 Palms, CA 92277-1743

Phone

(760) 367-0411

Fax

(760) 341-1333

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leonard Joseph Pung Sr. Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leonard J. Weston, PH.D., a Psychological Corporation

  • Clinical Psychologist
  • Rancho Mirage, CA
  • NPI 1437304706
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073665113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 810 AMBROSIA STREET",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605971",
            "telephone_number": "760-880-2002",
            "fax_number": "760-341-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42525 RANCHO MIRAGE LANE",
            "address_2": "5682 THE HISTORIC PLAZA",
            "city": "29 PALMS",
            "state": "CA",
            "postal_code": "922771743",
            "telephone_number": "760-367-0411",
            "fax_number": "760-341-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "LEONARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 5789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONARD",
            "last_name": "PUNG",
            "middle_name": "JOSEPH",
            "suffix": "SR.",
            "credential": "PH D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Lois Roadarmel, D.D.S.
• Michelle Marie Rogers, RD
• Winston Earl Rudder, PAC
• Jesse Revin Situmeang
• United States Navy

• Clinical Psychologist in 29 Palms, CA
• Providers in 29 Palms, CA by specialty
• Clinical 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.
• 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.