William Douglas Leusink, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

0053353 Issued in CO

Practice address

1012 W Abriendo Ave
Pueblo, CO 81004-1128

Phone

(719) 583-2207

Fax

(719) 584-4160

NPI assigned

Apr 11, 2006

Last updated

Oct 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Health Solutions

  dba Health Solutions Main

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
  • NPI 1033165527
  Medicare reassignment NPD
• Health Solutions

  dba Respite

  • Respite Care
  • Pueblo, CO
  • NPI 1184475121
  NPD
• Health Solutions

  dba MARC Pueblo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
  • NPI 1952908840
  NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1487617320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 202",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011366",
            "telephone_number": "719-545-2746",
            "fax_number": "719-542-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W ABRIENDO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041128",
            "telephone_number": "719-583-2207",
            "fax_number": "719-584-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUSINK",
        "first_name": "WILLIAM",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "0053353",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "0053353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Ann Lenk, D.O.
• Christina Marie Leonard, LPC, LAC
• Laura Elizabeth Lepczyk, D.O.
• Patricia Ann Lerma
• Jamison Robert Lester, AGACNP-BC, FNP-BC
• Jeremy Ian Levan
• Patricia A. Levy, PH.D.
• Andrea Dawn Lewis, DO
• Earline D Lewis
• Eric Andrew Lewis, D.P.M.

• Child & Adolescent Psychiatry Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Child & Adolescent Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.