Active NPI
Leonard Ferrara, PH.D.
- Psychologist
- Alameda, CA
National Provider Identifier
1104019066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY17693
- Practice address
- 1150 Ballena Blvd
Suite113
Alameda, CA 94501-3685 - Phone
- (510) 599-8392
- NPI assigned
- Aug 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY17693 | CA | Primary |
Addresses
Primary practice location
1150 Ballena Blvd
Suite113
Alameda, CA 94501-3685
Mailing address
14513 Flagship St
San Leandro, CA 94577-6400
Phone (510) 599-8392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250506003407 | CA | Practitioner - Clinical Psychologist | 9739606443 | Practice locations: Alameda, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1150 Ballena Blvd
Suite 251
Alameda, CA 94501-7313
Phone (510) 599-8392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17693 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1104019066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14513 FLAGSHIP ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945776400",
"telephone_number": "510-599-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 BALLENA BLVD",
"address_2": "SUITE113",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013685",
"telephone_number": "510-599-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARA",
"first_name": "LEONARD",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY17693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
- 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.