NPIMap

Organization Active NPI

Leah B. Schock PHD, LLC

  • Clinical Neuropsychologist
  • Bend, OR
National Provider Identifier
1497010706
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1492 Issued in OR
Legal business name
LEAH B. SCHOCK PHD, LLC
Practice address
975 SW Colorado Ave Ste 100
Bend, OR 97702-3155
Phone
(541) 678-5164
Fax
(541) 678-5017
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Dr. Leah B Schock, PH.D.NPI 1932110038
Title
Member
Phone
(541) 678-5164

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
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 1492 OR Primary

Addresses

Primary practice location

975 SW Colorado Ave Ste 100
Bend, OR 97702-3155

Mailing address

975 SW Colorado Ave Ste 100
Bend, OR 97702-3155
Phone (541) 678-5164

National Provider Directory

National Provider Directory

Locations

975 SW Colorado Ave
Ste 100
Bend, OR 97702
Phone (541) 678-5164

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": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1497010706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SW COLORADO AVE STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023155",
            "telephone_number": "541-678-5164",
            "fax_number": "541-678-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SW COLORADO AVE STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023155",
            "telephone_number": "541-678-5164",
            "fax_number": "541-678-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAH B. SCHOCK PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "SCHOCK",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-678-5164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.