Philip Bruce Leidy, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY6950 Issued in CA

Practice address

13006 Philadelphia St
Suite 205
Whittier, CA 90601-4264

Phone

(562) 696-3567

Fax

(562) 698-1789

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Strickler and Strickler a Professional Psychotherapy Corpora

  • Clinical Psychologist
  • Whittier, CA
  • NPI 1073941647
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265582902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 PHILADELPHIA ST",
            "address_2": "SUITE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014264",
            "telephone_number": "562-696-3567",
            "fax_number": "562-698-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13006 PHILADELPHIA ST",
            "address_2": "SUITE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014264",
            "telephone_number": "562-696-3567",
            "fax_number": "562-698-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDY",
        "first_name": "PHILIP",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia L Lee, M.D.
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• Alyssa Marie Lefevre
• Legacy Homecare, Inc.
• Hazel Joyce Legaspi, PT, DPT
• Allison Ivania Leiva
• Raquel Leiva, SLPA
• Haley Lemieux, SLPA
• Erin Lemonious
• Diana Leon-Friedman

• Clinical Psychologist in Whittier, CA
• Providers in Whittier, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.