Psychology 101, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

200815723 Issued in MO

Legal business name

PSYCHOLOGY 101, LLC

Practice address

613 S Tebo St
Windsor, MO 65360-1737

Phone

(660) 647-2800

Fax

(660) 647-5300

NPI assigned

Mar 30, 2010

Last updated

Oct 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. J Sandra Leonard, PSY. D.

Title

Clinical Psychologist

Phone

(660) 647-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1346565603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S TEBO ST",
            "city": "WINDSOR",
            "state": "MO",
            "postal_code": "653601737",
            "telephone_number": "660-647-2800",
            "fax_number": "660-647-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S TEBO ST",
            "city": "WINDSOR",
            "state": "MO",
            "postal_code": "653601737",
            "telephone_number": "660-647-2800",
            "fax_number": "660-647-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY 101, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "660-647-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "200815723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Lynn Nowicki, PHARMD
• Hector Ortiz-Marrero, PLP
• Pathways Psychiatric Hospital Inc (Royal Oaks Hospital)
• Pathways Psychiatric Hospital, Inc (Royal Oaks Hospital)
• Stephanie Pfautz, FNP
• Lindsay Merryfield Reagan
• Anne Wiley Roberts, LCSW
• Donald Leroy Sanders
• Sierra Lacetta Slaughter
• Dawn Michelle Snow, MS CCC-SLP

• Community/Behavioral Health Agency in Windsor, MO
• Providers in Windsor, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.