Individual provider Active NPI

Pamela Louise Leib, M.D.

  • Psychiatry Physician
  • Pottsville, PA
National Provider Identifier
1235123928
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-028473-E Issued in PA
Practice address
118 Mahantongo St
Pottsville, PA 17901-3009
Phone
(570) 628-3554
Fax
(570) 628-0194
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-028473-E PA Primary

Addresses

Primary practice location

118 Mahantongo St
Pottsville, PA 17901-3009

Mailing address

118 Mahantongo St
Pottsville, PA 17901-3009
Phone (570) 628-3554

Other identifiers 4

IdentifierTypeStateIssuer
A944323OtherVALUEOPTIONS
460243OtherPAHIGHMARK BLUE SHIELD
03211900OtherPACAPITAL BLUE CROSS
1022890MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000157 PA Practitioner - Psychiatry 7012966799 Practice locations: Pottsville, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-028473-EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Human Services Associates Inc Past Accepting new patients
Access Services Inc Past Accepting new patients
Access Services Inc. PastSince Dec 7, 2025 Accepting new patients

Organizations & group practices 3

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235123928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAHANTONGO ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013009",
            "telephone_number": "570-628-3554",
            "fax_number": "570-628-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAHANTONGO ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013009",
            "telephone_number": "570-628-3554",
            "fax_number": "570-628-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIB",
        "first_name": "PAMELA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-028473-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "A944323",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "460243",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03211900",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022890",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.