Gregory E. Leonard, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

010489 Issued in NY

Practice address

3980 Dutch Hollow Rd.
Bemus Point Central School District
Bemus Point, NY 14712-3980

Phone

(716) 386-4932

Fax

(716) 386-2376

NPI assigned

Oct 14, 2010

Last updated

Oct 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bemus Point Central School District

  • Local Education Agency (LEA)
  • Bemus Point, NY
  • NPI 1871659722
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1417267261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "address_2": "BEMUS POINT CENTRAL SCHOOL DISTRICT",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147120468",
            "telephone_number": "716-386-4932",
            "fax_number": "716-386-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 DUTCH HOLLOW RD.",
            "address_2": "BEMUS POINT CENTRAL SCHOOL DISTRICT",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147123980",
            "telephone_number": "716-386-4932",
            "fax_number": "716-386-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "GREGORY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01490486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Godfrey, COTA
• Ericka B Gowan, RN
• Paul S Holley, M.D.
• Samantha Lynn Kapuscinski, CRNP
• Dawn M Lai, CRNA
• Jaynie Lynn Leonard, RN
• Tanya Lockwood, M.S. CCC-SLP/L
• Lori A Lyth-Frantz, PH.D
• Maple Springs Fire Company, Inc.
• Sierra Mason, LCSW

• Psychologist in Bemus Point, NY
• Providers in Bemus Point, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.