Michael B. Leach PH.D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MICHAEL B. LEACH PH.D., INC.

Practice address

3659 Green Rd Ste 320
Beachwood, OH 44122-5715

Phone

(440) 333-4949

Fax

(440) 333-5044

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bruce Leach, PH.DNPI 1568546422

Title

Clinical Psychologist/Owner

Phone

(216) 570-0622

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael B Leach, PH.D.

  • Clinical Psychologist
  • Beachwood, OH
  • NPI 1568546422
  NPD Authorized official

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1467285106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD STE 320",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225715",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD STE 320",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225715",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. LEACH PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "216-570-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.