New Leaf Institute PLLC

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

1215 Issued in OK

Legal business name

NEW LEAF INSTITUTE PLLC

Practice address

12906 E 106TH St N
Owasso, OK 74055-5909

Phone

(918) 240-9380

Fax

(918) 376-4586

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Rose Riley, PSYDNPI 1881656494

Title

Owner

Phone

(918) 240-9380

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Rose Riley, PSY.D.

  • Health Service Psychologist
  • Owasso, OK
  • NPI 1881656494
  Medicare reassignment NPD Authorized official
• Brian C. Ess, PH.D.

  • Counseling Psychologist
  • Owasso, OK
  • NPI 1972636512
  NPD (past)
• Suzanne E Gauldin, LD/RD

  • Metabolic Nutrition Registered Dietitian
  • Owasso, OK
  • NPI 1104191931
  NPD (past)
• Carrie L. Winterowd, PH.D.

  • Counseling Psychologist
  • Stillwater, OK
  • NPI 1649396649
  NPD (past)
• Jennifer Sheader Wood, PH.D.

  • Psychologist
  • Owasso, OK
  • NPI 1043454903
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1295130508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12906 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555909",
            "telephone_number": "918-240-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12906 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555909",
            "telephone_number": "918-240-9380",
            "fax_number": "918-376-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-240-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200579150A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jad Nehme
• Kay E Neldon, OT/L, CHT
• Michelle Netters, LPN
• New Care
• New Era Anesthesia Services PLLC
• Jennifer Ngene
• Joyce Ngouan
• Linda-Mai Nguyen, BCBA
• Garrett Nichols
• Kimberly Ann Nigg, D.D.S.

• Health Service Psychologist in Owasso, OK
• Providers in Owasso, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.