Individual provider Active NPI

Leslie Lynn Rhinehart, PSY.D.

  • Clinical Psychologist
  • Warren, PA
National Provider Identifier
1235252255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003832L Issued in PA
Practice address
143 Pleasant Dr
Warren, PA 16365-3371
Phone
(814) 726-3310
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PS003832L PA Primary

Addresses

Primary practice location

143 Pleasant Dr
Warren, PA 16365-3371

Mailing address

211 W Corydon St
Bradford, PA 16701-3907
Phone (814) 368-7677

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001165 PA Practitioner - Clinical Psychologist 1052382397 Practice locations: Bradford, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Main St
Suite 418
Bradford, PA 16701-2070
Phone (814) 368-7677

211 W Corydon St
Bradford, PA 16701-3907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS003832LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235252255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W CORYDON ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013907",
            "telephone_number": "814-368-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653371",
            "telephone_number": "814-726-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINEHART",
        "first_name": "LESLIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003832L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.