Leah Bogusch, PHD
Individual provider Active NPI Clinical Psychologist · Albuquerque, NM
NPI 1295298370 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1295298370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY1689 (NM)
- Practice address
- 2211 Lomas Blvd NE
Albuquerque, NM 87106-2719 - Phone
- (505) 272-2111
- NPI assigned
- Apr 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Unm Hospital
Elevation Counseling LLC
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2644
6612 Gulton CT NE
Suite a
Albuquerque, NM 87109-4407
Phone (505) 888-1686
Hospital & facility affiliations
- Unm Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.83 of 100
- Quality
- 83.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.52
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231222002367 | NM | Practitioner - Clinical Psychologist | 9032569686 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Hospital | Current |
Accepting new patients | |
| Unm Hospital | Clinical | Current |
Accepting new patients |
| Ideal Self Therapy LLC | Clinical | Current | Accepting new patients |
| Elevation Counseling, LLC | Current |
Accepting new patients | |
| University Hospital | Past |
Accepting new patients | |
| University Hospital | Past |
Accepting new patients | |
| Pueblo of San Felipe | Past |
Accepting new patients |
Locations
6612 Gulton Ct NE
Ste A
Albuquerque, NM 87109
Phone (505) 289-0797
2600 Marble Ave NE
Albuquerque, NM 87106
Phone (505) 272-2800
1 University of New Mexico
Albuquerque, NM 87131
Phone (505) 272-2345
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1689 | NM | Yes |
Addresses
Primary practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Mailing address
933 Bradbury Dr SE
Albuquerque, NM 87106-4374
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu |
Other providers in Albuquerque, NM
- Michael Bogenschutz
- David Breck Boggio
- Maria Boggio
- Bokang Bogopane
- Devin L Bogus
- Juliane Nichole Bohan
- Sarah Boissiere
- Mariana Boitano
- Michel A Boivin
- Himabindu Boja
All providers in Albuquerque, NM · Clinical Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.