Individual provider Active NPI

Saadia Ahsan McLeod, PH.D.

  • Clinical Psychologist
  • Diamond Bar, CA
National Provider Identifier
1407938129
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17324 Issued in CA
Practice address
21660 Copley Dr Ste 210
Diamond Bar, CA 91765-4109
Phone
(909) 720-4997
Fax
(909) 396-6889
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17324 CA Primary

Addresses

Primary practice location

21660 Copley Dr Ste 210
Diamond Bar, CA 91765-4109

Mailing address

21660 Copley Dr
Ste 210
Diamond Bar, CA 91765-4109
Phone (909) 720-4997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110816000119 CA Practitioner - Clinical Psychologist 6709055320 Practice locations: Chino Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14712 Pipeline Ave
Suite B
Chino Hills, CA 91709-1298
Phone (909) 720-4997

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY17324CAMDClinical Psychologist
17324CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Albers Family Counseling Clinical PastSince Oct 5, 2021 Accepting new patients
Brio Home Health Services, Inc. Past Accepting new patients

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1407938129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21660 COPLEY DR",
            "address_2": "STE 210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654109",
            "telephone_number": "909-720-4997",
            "fax_number": "909-396-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 COPLEY DR STE 210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654109",
            "telephone_number": "909-720-4997",
            "fax_number": "909-396-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "SAADIA",
        "middle_name": "AHSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.