Active NPI
Leah S Horvath, PH.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1457487795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 71007012
- Practice address
- 4753 N Broadway St
Suite 530
Chicago, IL 60640-5266 - Phone
- (773) 206-9990
- NPI assigned
- Feb 23, 2007
- 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 | 71007012 | IL | Primary |
Addresses
Primary practice location
4753 N Broadway St
Suite 530
Chicago, IL 60640-5266
Mailing address
800 W Lill Ave
Unit 105
Chicago, IL 60614-2343
Phone (773) 206-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636425 | Other | IL | BLUE CROSS BLUE SHIELD PR |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71007012 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457487795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W LILL AVE",
"address_2": "UNIT 105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142343",
"telephone_number": "773-206-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4753 N BROADWAY ST",
"address_2": "SUITE 530",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405266",
"telephone_number": "773-206-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORVATH",
"first_name": "LEAH",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "71007012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PR",
"identifier": "01636425",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.