Jessica Leclerc - Oasis Psychological Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

CSLG8022 Issued in AZ

Legal business name

JESSICA LECLERC - OASIS PSYCHOLOGICAL SERVICES, PLLC

Practice address

1930 S Alma School Rd. Ste. A216
Mesa, AZ 85210

Phone

(480) 282-4237

Fax

(623) 900-7217

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Lee Leclerc, PSY.D.

Title

Owner/Executive Clinical Director

Phone

(480) 282-4237

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Jessica Leclerc - Oasis Psychological Services PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jessica Leclerc - Oasis Psychological Services, PLLC

  dba Jessica Leclerc, Psy.D.

  • Psychologist
  • Mesa, AZ
  • NPI 1679938211
  NPD tax ID
• Jessica Leclerc - Oasis Psychological Services, PLLC

  dba Oasis Psychological Services - Group

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1770065989
  NPD tax ID

Locations

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1417327735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD. STE. A216",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-282-4237",
            "fax_number": "623-900-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD. STE. A216",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-282-4237",
            "fax_number": "623-900-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LECLERC - OASIS PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "LECLERC",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-282-4237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4299",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "CSLG8022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406988",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Darlynn Jeppesen
• Peter C. Jeppson, MD
• Jeremiah 29:11 Counseling Services LLC
• Jerry Ellen Owensby, M.D., P.C.
• Natalia Sarmiento Jeschien, P.T
• Jessica Leclerc - Oasis Psychological Services, PLLC (Jessica Leclerc, Psy.D.)
• Jessica Leclerc - Oasis Psychological Services, PLLC (Oasis Psychological Services - Group)
• Ethan Matthias Jessop
• Hajra Jethwa
• Rachell Marie Jewell

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.