Leslie L Hovsepian, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY21538 Issued in CA

Practice address

279 Main St
Quincy, CA 95971

Phone

(530) 633-6749

Fax

(530) 692-5679

NPI assigned

Oct 11, 2007

Last updated

Oct 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1508054800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959711106",
            "telephone_number": "530-633-6749",
            "fax_number": "530-692-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 MAIN ST",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-633-6749",
            "fax_number": "530-692-5679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4907 Morena Blvd",
            "address_2": "Suite 1412",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921173463",
            "country_code": "US",
            "telephone_number": "858-272-6100",
            "fax_number": "858-272-6102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 E Main St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "CA",
            "postal_code": "95971",
            "country_code": "US",
            "telephone_number": "530-283-3960",
            "fax_number": "530-283-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOVSEPIAN",
        "first_name": "LESLIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kegan M Hood
• Alexandra Hunt, MD
• Ben Martin Hunt, MD
• Rachel K Hurlburt, DO
• Leslie Ingram
• Linda Sue Jameson, RN

• Psychologist in Quincy, CA
• Providers in Quincy, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.