Reachout of St. Lawrence County

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REACHOUT OF ST. LAWRENCE COUNTY

Practice address

21 Cedar St
Potsdam, NY 13676-2018

Phone

(315) 265-2422

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Desiree Leboeuf, PHD

Title

Licensed Psychologist

Phone

(315) 265-2422

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706918400000",
    "number": "1396515128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5051",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136765051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CEDAR ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136762018",
            "telephone_number": "315-265-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHOUT OF ST. LAWRENCE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "LEBOEUF",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "315-265-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://na0.icarol.com/secure/Dashboard/Home.aspx",
            "affiliation": "N",
            "endpointDescription": "iCarol Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Cedar St",
            "city": "Potsdam",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136762018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jayaram Radhakrishnan, MD
• Imre Kayvan Rainey-Spence, M.D.
• Genevieve Ramsay, LMSW
• Lisa Marie Randall, CERT.TECH
• Aimee Jean Raymonda, FNP
• Kelly Recore, RN
• Michael Reddick, PHARMD
• Zachary Reed, DO
• Reinier Ramirez, MD, PC
• Amanda L Reynolds, PHARMD

• Community/Behavioral Health Agency in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.