Organization Active NPI

Leslie Trumble, PSYD, LLC

  • Psychologist
  • Butte, MT
National Provider Identifier
1487001046
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1943 Issued in MT
Legal business name
LESLIE TRUMBLE, PSYD, LLC
Practice address
125 W Granite St
Suite 212
Butte, MT 59701-9215
Phone
(406) 498-7120
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. Leslie Trumble, PSY.D.NPI 1578924239
Title
Psychologist, Owner
Phone
(406) 498-7120

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1943 MT Primary

Addresses

Primary practice location

125 W Granite St
Suite 212
Butte, MT 59701-9215

Mailing address

125 W Granite St
Suite 212
Butte, MT 59701-9215
Phone (406) 498-7120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170720002671 MT Part B Supplier - Clinic/Group Practice 0749550952 Receives reassigned benefits from 1 practitioner
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Locations

125 W Granite St
Ste 212
Butte, MT 59701
Phone (406) 498-7120

125 W Granite St
Butte, MT 59701
Phone (406) 498-6929

Practitioners & affiliated clinicians

Practitioners 1

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": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1487001046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W GRANITE ST",
            "address_2": "SUITE 212",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019215",
            "telephone_number": "406-498-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W GRANITE ST",
            "address_2": "SUITE 212",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019215",
            "telephone_number": "406-498-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE TRUMBLE, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "TRUMBLE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "406-498-7120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MT",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.