Marcia B Leder PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4123 Issued in FL

Legal business name

MARCIA B LEDER PHD PA

Practice address

22047 State Rd 7
Boca Raton, FL 33428

Phone

(561) 482-8072

Fax

(561) 482-7571

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Marcia B Leder, PH DNPI 1619966538

Title

Pres

Phone

(561) 482-8072

Specialties & licenses 1

Addresses

Other names 1

• West Boca Psychology Group Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcia Bonnie Leder, PH.D.

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1619966538
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184640625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22047 STATE RD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "561-482-8072",
            "fax_number": "561-482-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22047 STATE RD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "561-482-8072",
            "fax_number": "561-482-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA B LEDER PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-482-8072",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Boca Psychology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Rosenberg, DO PA
• Marc W. Rosen, D.C.,P.a.
• Marcantonio Dental USA, Corp
• Gina Lynne Marchando, LMFT
• Thomas Albert Marchant III, BA
• Lisa Marcinkoski, PA, MMS
• Fred Marco, M.S. CF-SLP
• Anthony Marcos, DMD
• Rebecca Lauren Marcus Wheeler, LCSW, MCAP
• David Marcus, MD

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.