Active NPI
Leighton James Reynolds I, PH.D.
- Psychoanalyst
- Valencia, CA
National Provider Identifier
1376921411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000000
- Practice address
- 25000 Avenue Stanford
Valencia, CA 91355-1224 - Phone
- (661) 478-0667
- Fax
- (661) 254-1404
- NPI assigned
- May 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | |||
| Psychoanalyst | 102L00000X | 000000 | NM | Primary |
Addresses
Primary practice location
25000 Avenue Stanford
Valencia, CA 91355-1224
Mailing address
25000 Avenue Stanford
Valencia, CA 91355-1224
Phone (661) 478-0667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000 | NM | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1376921411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25000 AVENUE STANFORD",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551224",
"telephone_number": "661-478-0667",
"fax_number": "661-254-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25000 AVENUE STANFORD",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551224",
"telephone_number": "661-478-0667",
"fax_number": "661-254-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "LEIGHTON",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NM",
"license": "000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Debbie Rich
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.