Leah Marie Puddester, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38109 Issued in TX

Practice address

1610 Woodstead CT Ste 420
Spring, TX 77380-3404

Phone

(281) 363-4220

NPI assigned

Mar 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 17, 2019 through Dec 17, 2027

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 and National Provider Directory roles.

• Woodlands Family Institute, PC

  • Clinical Psychologist
  • The Woodlands, TX
  • NPI 1891961090
  NPD (past)

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1447719190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31233 NEW FOREST PARK LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864604",
            "telephone_number": "713-535-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WOODSTEAD CT STE 420",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803404",
            "telephone_number": "281-363-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDDESTER",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna May Proulx
• Providence ER of Rayford PLLC
• Providence ER of Spring, PLLC
• Provider Services of Texas
• Prudence Transport Services LLC
• Ivian Puente Roca, AGNP-C
• Marydette Pullen
• Crystal Purdon, CNIM
• Steven Purdon, CNIM
• Purpose Restored Counseling and Consulting Services LLC

• Clinical Psychologist in Spring, TX
• Providers in Spring, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.