Maribel Leon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32110 Issued in CA

Practice address

1151 El Centro St Ste B
South Pasadena, CA 91030-3270

Phone

(323) 345-1402

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Verdant Oak Behavioral Health, Inc.

  • Psychologist
  • South Pasadena, CA
  • NPI 1316205321
  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1487244489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 E WALNUT ST UNIT 2020",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061646",
            "telephone_number": "213-458-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 EL CENTRO ST STE B",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303270",
            "telephone_number": "323-345-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "MARIBEL",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Lee
• Thomas G Lee, LICENSED ACUPUNCTURI
• Darshana U. Lele, PH.D.
• Chloe Starlin Lemons
• Jose Armando Lemus
• Jessica D Leos
• Janet Ruth Lester, PSY.D.
• Susan Leung, DDS
• Lev G Gertsik MD Inc
• Karen Levine, PHD

• Clinical Psychologist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.