Active NPI
Nicole Therese Leveille, PHD, PPS
- School Psychologist
- Ukiah, CA
National Provider Identifier
1275971335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 511 S Orchard Ave
Ukiah, CA 95482-3470 - Phone
- (707) 472-5000
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CA | Primary |
Addresses
Primary practice location
511 S Orchard Ave
Ukiah, CA 95482-3470
Mailing address
475 W Church St
Ukiah, CA 95482-4817
Phone (707) 362-6808
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1275971335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 W CHURCH ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824817",
"telephone_number": "707-362-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 S ORCHARD AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823470",
"telephone_number": "707-472-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVEILLE",
"first_name": "NICOLE",
"middle_name": "THERESE",
"name_prefix": "Dr.",
"credential": "PHD, PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.