Individual provider Active NPI

Leah Oreilly, PSYD

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1366823635
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3749-57 Issued in WI
Practice address
2675 N Mayfair Rd Ste 400
Milwaukee, WI 53226-1305
Phone
(414) 250-8227
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2044-226 WI
Psychologist 103T00000X 3749-57 WI Primary

Addresses

Primary practice location

2675 N Mayfair Rd Ste 400
Milwaukee, WI 53226-1305

Mailing address

2675 N Mayfair Rd Ste 400
Milwaukee, WI 53226-1305
Phone (414) 250-8227

Other names 1

  • Leah Zimmerman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20200224000305 WI Practitioner - Clinical Psychologist 1153758669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2044-226WIMDMental Health Counselor
3749-57WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Frontiers Psychiatric SC Psychologist CurrentSince Jan 1, 2021 Accepting new patients
New Frontiers TMS LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

2675 N Mayfair Rd
Ste 400
Milwaukee, WI 53226
Phone (414) 350-2449

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1366823635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N MAYFAIR RD STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261305",
            "telephone_number": "414-250-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N MAYFAIR RD STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261305",
            "telephone_number": "414-250-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREILLY",
        "first_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2044-226",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3749-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "ZIMMERMAN",
            "credential": "M.S., LPC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.