Leland St. Charles, Psychologist, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LELAND ST. CHARLES, PSYCHOLOGIST, LLC

Practice address

1210 SE Oak St
Portland, OR 97214-1427

Phone

(503) 755-8808

Fax

(971) 339-8595

NPI assigned

Mar 25, 2022

Organization subpart

No

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

Authorized official

Name

Leland St Charles, PSYDNPI 1457715922

Title

Psychologist, Owner, Sole Member

Phone

(503) 755-8808

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leland St. Charles, PSY.D.

  • Clinical Psychologist
  • Portland, OR
  • NPI 1457715922
  NPD Authorized official

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673049600000",
    "number": "1427708171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 SE 75TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068613",
            "telephone_number": "415-710-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SE OAK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141427",
            "telephone_number": "503-755-8808",
            "fax_number": "971-339-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELAND ST. CHARLES, PSYCHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "ST CHARLES",
        "authorized_official_first_name": "LELAND",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER, SOLE MEMBER",
        "authorized_official_telephone_number": "503-755-8808",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina N. Leitzel, BS BCO BADO
• Maria C. Leiva, M.D.
• Jenna Lejeune, PH.D.
• Marc Terry Lejeune, LCSW
• Greg Lekas, DC
• Julie Lelievre
• Michael Lell, D.C.
• David Lelong
• Richard Farwell Leman, MD
• Ian Collier Lemasters, LMT

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; 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.