Individual provider Active NPI

Xochitl Cortina Leevers, PSYD

  • Clinical Psychologist
  • Temecula, CA
National Provider Identifier
1528461597
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31641 Issued in CA
Practice address
44025 Margarita Rd Ste 101
Temecula, CA 92592-2728
Phone
(951) 331-3938
Fax
(951) 331-3843
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY31641 CA Primary

Addresses

Primary practice location

44025 Margarita Rd Ste 101
Temecula, CA 92592-2728

Mailing address

44025 Margarita Rd Ste 101
Temecula, CA 92592-2728
Phone (951) 331-3938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY31641CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Gardens Counseling and Psychological Services, PC Clinical CurrentSince Mar 16, 2020 Accepting new patients

Locations

44025 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (661) 347-6679

Organizations & group practices 1

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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1528461597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44025 MARGARITA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922728",
            "telephone_number": "951-331-3938",
            "fax_number": "951-331-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44025 MARGARITA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922728",
            "telephone_number": "951-331-3938",
            "fax_number": "951-331-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEVERS",
        "first_name": "XOCHITL",
        "middle_name": "CORTINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.