Leonard Chavez, PSY.D.
Individual provider Active NPI Clinical Psychologist · Taylorsville, UT
NPI 1457162802 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1457162802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 39680 (TX)
- Practice address
- 6013 S Redwood Rd
Taylorsville, UT 84123-5220 - Phone
- (801) 255-5131
- NPI assigned
- Jan 15, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Forensic Psych Services
Practice addresses (Care Compare)
7400 Fannin St
Suite 1150
Houston, TX 77054-1933
Phone (719) 725-7235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250206002931 | TX | Practitioner - Clinical Psychologist | 9335679216 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Eddy Psychotherapy Management, LLC | Clinical | Current |
Accepting new patients |
| Deep Centered Psychiatry PLLC | Current |
Accepting new patients | |
| Peak Forensic Psych Services | Clinical | Current |
Accepting new patients |
Locations
508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889
7400 Fannin St
Ste 1150
Houston, TX 77054
Phone (713) 795-5054
4119 Montrose Blvd
Ste 500
Houston, TX 77006
Phone (512) 456-9183
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 39680 | TX | Yes |
Addresses
Primary practice location
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Mailing address
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Other practice location 1
4119 Montrose Blvd Ste 500
Houston, TX 77006-4970
Phone (512) 456-9183
Other providers in Taylorsville, UT
- Beth Chase
- Kyleigh Chatterton
- Jenalee Shawna Chatwin
- Carmina Chavez
- Dustin Chavez
- Raeann Chavez
- Joseph M Checchio
- Jaycee Checketts
- Cherish Your Smile PLLC
- Brian Cherry
All providers in Taylorsville, UT · Clinical Psychologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.