Individual provider Active NPI

Leslie Kim Doehring, PSY.D.

  • Clinical Psychologist
  • Roswell, GA
National Provider Identifier
1235202276
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2553 Issued in GA
Practice address
580 West Crossville Road
Suite 201
Roswell, GA 30075-2506
Phone
(678) 494-0089
Fax
(770) 643-4854
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 2553 GA Primary

Addresses

Primary practice location

580 West Crossville Road
Suite 201
Roswell, GA 30075-2506

Mailing address

580 W Crossville Rd Ste 201
Roswell, GA 30075-7511
Phone (678) 494-0089

Other names 1

  • Dr. Leslie Ruth Kim Other name

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
2553GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric & Family Psychological Services, P.C. PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1235202276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W CROSSVILLE RD STE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757511",
            "telephone_number": "678-494-0089",
            "fax_number": "615-671-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WEST CROSSVILLE ROAD",
            "address_2": "SUITE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752506",
            "telephone_number": "678-494-0089",
            "fax_number": "770-643-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEHRING",
        "first_name": "LESLIE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "KIM",
            "middle_name": "RUTH",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.