Organization Active NPI

New Leaf Psychotherapy Services

  • Cognitive & Behavioral Psychologist
  • Southampton, PA
National Provider Identifier
1477813434
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PC000060 Issued in PA
Legal business name
NEW LEAF PSYCHOTHERAPY SERVICES
Practice address
504 Lakeside Park
Southampton, PA 18966-4078
Phone
(215) 354-0777
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Dr. Kyle F Walsh, PHDNPI 1487796413
Title
Co Owner
Phone
(215) 601-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X PC000060 PA Primary

Addresses

Primary practice location

504 Lakeside Park
Southampton, PA 18966-4078

Mailing address

504 Lakeside Park
Southampton, PA 18966-4078
Phone (215) 354-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260501000875 PA Part B Supplier - Clinic/Group Practice 9638647233 Receives reassigned benefits from 2 practitioners
Practice locations: Southampton, PA

National Provider Directory

National Provider Directory

Locations

504 Lakeside Park
Southampton, PA 18966
Phone (215) 354-0777

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1477813434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664078",
            "telephone_number": "215-354-0777",
            "fax_number": "215-354-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664078",
            "telephone_number": "215-354-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "215-601-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PC000060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.