Organization Active NPI

Joel R Leff MDSC

  • Psychiatry Physician
  • Palos Heights, IL
National Provider Identifier
1225222672
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JOEL R LEFF MDSC
Practice address
7350 W College Dr
Suite 106
Palos Heights, IL 60463-1149
Phone
(708) 361-5110
Fax
(708) 361-5305
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Joel R Leff, MDNPI 1952478919
Title
Psychiatrist
Phone
(708) 361-5110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

7350 W College Dr
Suite 106
Palos Heights, IL 60463-1149

Mailing address

7350 W College Dr
Suite 106
Palos Heights, IL 60463-1149
Phone (708) 361-5110

Other identifiers 1

IdentifierTypeStateIssuer
21609141OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1225222672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 W COLLEGE DR",
            "address_2": "SUITE 106",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631149",
            "telephone_number": "708-361-5110",
            "fax_number": "708-361-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W COLLEGE DR",
            "address_2": "SUITE 106",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631149",
            "telephone_number": "708-361-5110",
            "fax_number": "708-361-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL R LEFF MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "LEFF",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "708-361-5110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21609141",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.