Individual provider Active NPI

Stacey A Leed, M.ED.,CAGES

  • School Psychologist
  • Wilmington, DE
National Provider Identifier
1295085314
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
63222 Issued in DE
Practice address
1500 Spruce Ave
Red Clay Consolidated School District
Wilmington, DE 19805-2148
Phone
(302) 552-3797
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 63222 DE Primary

Addresses

Primary practice location

1500 Spruce Ave
Red Clay Consolidated School District
Wilmington, DE 19805-2148

Mailing address

1500 Spruce Avenu
Red Clay Consolidated School District
Wimington, DE 19805
Phone (302) 552-3797

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
Master of Education

State licenses

LicenseStateTypeSpecialty
63222DEMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1295085314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SPRUCE AVENU",
            "address_2": "RED CLAY CONSOLIDATED SCHOOL DISTRICT",
            "city": "WIMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-552-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SPRUCE AVE",
            "address_2": "RED CLAY CONSOLIDATED SCHOOL DISTRICT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052148",
            "telephone_number": "302-552-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEED",
        "first_name": "STACEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.ED.,CAGES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DE",
            "license": "63222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.