Individual provider Active NPI

Leslie Anne Wright, PSYD

  • Clinical Psychologist
  • Altadena, CA
National Provider Identifier
1174142756
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31121 Issued in CA
Practice address
156 W Manor St
Altadena, CA 91001-4716
Phone
(805) 836-0975
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY31121 CA Primary

Addresses

Primary practice location

156 W Manor St
Altadena, CA 91001-4716

Mailing address

156 W Manor St
Altadena, CA 91001-4716
Phone (805) 836-0975

Other practice location 1

1015 Fremont Ave Fl 2
South Pasadena, CA 91030-3224
Phone (805) 835-0975

Other practice location 2

15650 Devonshire St Ste 210-212
Granada Hills, CA 91344-7241
Phone (805) 836-0975

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drleslie@theparcfoundation.com

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

State licenses

LicenseStateTypeSpecialty
PSY31121CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
The Institute for Professional Parenting (Tipp) Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lesliewright@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1174142756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W MANOR ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014716",
            "telephone_number": "805-836-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W MANOR ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014716",
            "telephone_number": "805-836-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Fremont Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910303224",
            "country_code": "US",
            "telephone_number": "805-835-0975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15650 Devonshire St Ste 210-212",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913447241",
            "country_code": "US",
            "telephone_number": "805-836-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drleslie@theparcfoundation.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "15650 Devonshire St Ste 210-212",
            "city": "Granada Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913447241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; 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.