John E. Leonard, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12821 Issued in CA

Practice address

2659 Portage Bay E
Suite 204
Davis, CA 95616-3050

Phone

(530) 756-6438

Fax

(530) 419-0774

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Neurobehavioral Programs, Incorporated

  • Psychologist
  • Davis, CA
  • NPI 1548541873
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1336226083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 PORTAGE BAY E",
            "address_2": "SUITE 204",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163050",
            "telephone_number": "530-756-6438",
            "fax_number": "530-419-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 PORTAGE BAY E",
            "address_2": "SUITE 204",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163050",
            "telephone_number": "530-756-6438",
            "fax_number": "530-419-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JOHN",
        "middle_name": "E.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary-Helen B Leet, MA, MFT
• Eric B Lefever, MD
• Bruce Norman Leistikow, MD
• Lauren Lemseffer, BCAT, RBT
• Lorena Leon Gutierrez
• Linda Leong Lee, PHARM.D.
• Daria Leonov
• David K Leung, M.D.
• Abram Levin, MD
• Harris D Levin, M.D.

• Clinical Psychologist in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.