New Leaf Behavioral Health, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEW LEAF BEHAVIORAL HEALTH, LLC

Practice address

719 Scott Ave Ste 620
Wichita Falls, TX 76301-2610

Phone

(940) 761-9700

Fax

(970) 761-9704

NPI assigned

Sep 1, 2011

Last updated

Sep 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy J NybergNPI 1750614251

Title

Owner

Phone

(940) 761-9700

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Timothy J Nyberg, PH.D.

  • Clinical Psychologist
  • Wichita Falls, TX
  • NPI 1750614251
  Authorized official Same address or phone
• Megan N Bodine, PHD

  • Clinical Psychologist
  • Wichita Falls, TX
  • NPI 1417223264
  NPD (past)
• Kim Elizabeth Robinson, PHD

  • Clinical Psychologist
  • Wichita Falls, TX
  • NPI 1336406313
  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1235410408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SCOTT AVE STE 620",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012610",
            "telephone_number": "940-761-9700",
            "fax_number": "970-761-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SCOTT AVE STE 620",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012610",
            "telephone_number": "940-761-9700",
            "fax_number": "970-761-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-761-9700"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Neinas, LCDC
• Kristie Nelson, COTA
• Melissa Nelson, MS, LPC
• Lenora Joyce Nepper, APRN-CNM
• Neurological Surgery Specialist of North Texas PLLC
• Gunnar G Newman, PHD
• Robert Newman, LPT
• Brett Newton, PHARMD
• Hung Ba Nguyen, M.D.
• Nhi Nguyen, DMD

• Clinical Psychologist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.