Leslie Jean Bennett Thayer, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27726 Issued in CA

Practice address

8355 La Mesa Blvd
La Mesa, CA 91942-9249

Phone

(619) 354-4423

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of San DiegoGroup PAC ID 8123014057, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• County of San Diego

  • Public Health or Welfare Agency
  • San Diego, CA
  • NPI 1225255375

  Case Manager/Care Coordinator

  Medicare reassignment Care Compare group NPD
• County of San Diego

  • Ambulance
  • San Diego, CA
  • NPI 1316685159
  NPD
• County of San Diego

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1386704351
  NPD
• Maria I. Frailey, PH.D., a Professional Corporation

  • Psychologist
  • La Mesa, CA
  • NPI 1619175379
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1316004914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880914",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921680914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429249",
            "telephone_number": "619-354-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "LESLIE",
        "middle_name": "JEAN BENNETT",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Tino Terramani, MD
• Aida Tesfaye-Kedjela, MD
• Sinafikish T Tessema, NP
• Phuong T Thai, PHARMD
• Cynthia Ann Thayer, LCSW
• The Bridges of San Diego, Inc.
• The Cataract Vision Institute LLC
• The Heart Center of San Diego Medical Group, Inc
• The Kensington Agency Inc
• The Lasik Vision Institute LLC

• Clinical Psychologist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.