Individual provider Active NPI

Leslie Case, PHD

  • Psychologist
  • West Hartford, CT
National Provider Identifier
1073785564
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001215 Issued in CT
Practice address
46 South Quaker Lane
West Hartford, CT 06119-1637
Phone
(860) 523-5188
NPI assigned
Mar 25, 2008
Last updated
Mar 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 001215 CT Primary

Addresses

Primary practice location

46 South Quaker Lane
West Hartford, CT 06119-1637

Mailing address

46 South Quaker Lane
West Hartford, CT 06119-1637
Phone (860) 523-5188

Other names 1

  • Mrs. Leslie Wolf Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001215CTMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1073785564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SOUTH QUAKER LANE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191637",
            "telephone_number": "860-523-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SOUTH QUAKER LANE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191637",
            "telephone_number": "860-523-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "WOLF",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.