Individual provider Active NPI

Leslie M Chaundy, PSY.D, LCSW

  • Psychologist
  • Reading, PA
National Provider Identifier
1508015686
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018003 Issued in PA
Practice address
2208 Quarry Dr Ste 200
Reading, PA 19609-1158
Phone
(610) 563-2052
Fax
(610) 563-2052
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016069 PA
Psychologist 103T00000X PS018003 PA Primary

Addresses

Primary practice location

2208 Quarry Dr Ste 200
Reading, PA 19609-1158

Mailing address

2208 Quarry Dr Ste 200
Reading, PA 19609-1158
Phone (610) 563-2052

Other practice location 1

1150 Glenlivet Dr Ste A15
Allentown, PA 18106-3112
Phone (484) 201-2130 ext. 2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222000583 PA Practitioner - Clinical Psychologist 8729243977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Matters Coaching, Counseling, and Psychological Associates LLCGroup PAC ID 0648554303, 18 clinicians

Practice addresses (Care Compare)

2209 Quarry Dr
Suite A10
Reading, PA 19609-1153
Phone (844) 696-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corefit Chiropractic Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1508015686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 QUARRY DR STE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091158",
            "telephone_number": "610-563-2052",
            "fax_number": "610-563-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 QUARRY DR STE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091158",
            "telephone_number": "610-563-2052",
            "fax_number": "610-563-2052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Glenlivet Dr Ste A15",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181063112",
            "country_code": "US",
            "telephone_number": "484-201-2130 x2200",
            "fax_number": "484-201-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUNDY",
        "first_name": "LESLIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016069",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.