Individual provider Active NPI

Leslie Crossman, PHD

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1235241332
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-4040 Issued in TX
Practice address
4314 Yoakum Blvd
Houston, TX 77006-5864
Phone
(713) 850-0049
Fax
(713) 627-7302
NPI assigned
Aug 31, 2006
Last updated
Dec 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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 2-4040 TX Primary

Addresses

Primary practice location

4314 Yoakum Blvd
Houston, TX 77006-5864

Mailing address

6 Prospect PL
Bellaire, TX 77401-4700
Phone (713) 661-8608

Other identifiers 2

IdentifierTypeStateIssuer
102040602MedicaidTX
86104AOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090709000614 TX Practitioner - Clinical Psychologist 5395897078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care I LLCGroup PAC ID 1557535226, 9 clinicians

Practice addresses (Care Compare)

11902 Resource Pkwy
Houston, TX 77089-6086
Phone (281) 922-6802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2-4040TXMDClinical Psychologist
24040TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care I, LLC Clinical CurrentSince Dec 26, 2013 Accepting new patients

Locations

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

99 Rigby Owen Rd
Conroe, TX 77304
Phone (574) 295-0096

11902 Resource Pkwy
Houston, TX 77089
Phone (281) 922-6802

4314 Yoakum Blvd
Houston, TX 77006
Phone 7138500049207

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

4653 SW Fwy
Ste 635
Houston, TX 77027

1480 Katy Flewellen Rd
Katy, TX 77494
Phone (281) 394-0088

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571

6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1235241332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PROSPECT PL",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014700",
            "telephone_number": "713-661-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065864",
            "telephone_number": "713-850-0049",
            "fax_number": "713-627-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSMAN",
        "first_name": "LESLIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-4040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102040602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86104A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.