Individual provider Active NPI

Eileen Marie Leuthe, PH.D.

  • Clinical Psychologist
  • Greensboro, NC
National Provider Identifier
1396065587
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5592 Issued in NC
Practice address
606B Walter Reed Dr
Greensboro, NC 27403-1114
Phone
(336) 547-1574
Fax
(336) 323-5247
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3453 CO
Clinical Psychologist 103TC0700X 4489 AZ
Clinical Psychologist 103TC0700X 5592 NC Primary

Addresses

Primary practice location

606B Walter Reed Dr
Greensboro, NC 27403-1114

Mailing address

606B Walter Reed Dr
Greensboro, NC 27403-1114
Phone (336) 547-1574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230106001735 NC Practitioner - Clinical Psychologist 7012104573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

4446 US Hwy 220 N
Suite a
Summerfield, NC 27358-9415
Phone (336) 547-1574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3453COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Autism Research and Resource Center Psychologist PastSince Dec 31, 2023 Accepting new patients
Southwest Autism Research and Resource Center Psychologist PastSince Jun 15, 2021 Accepting new patients
Carolina Psychological Associates, P.a. Clinical PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 4

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1396065587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606B WALTER REED DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031114",
            "telephone_number": "336-547-1574",
            "fax_number": "336-323-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606B WALTER REED DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031114",
            "telephone_number": "336-547-1574",
            "fax_number": "336-323-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUTHE",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3453",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4489",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.