Active NPI
Leslie Celis, PSYD
- Clinical Psychologist
- Burbank, CA
National Provider Identifier
1417385485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30832
- Practice address
- 303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118 - Phone
- (818) 588-4142
- NPI assigned
- Oct 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30832 | CA | Primary |
Addresses
Primary practice location
303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118
Mailing address
303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118
Phone (818) 588-4142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30832 | Other | CA | CA BOARD OF PSYCHOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30832 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1417385485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N GLENOAKS BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021118",
"telephone_number": "818-588-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N GLENOAKS BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021118",
"telephone_number": "818-588-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELIS",
"first_name": "LESLIE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF PSYCHOLOGY",
"identifier": "30832",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.