Chanel Leibsohn, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31246 Issued in CA

Practice address

265 South Randolph Ave Ste 120
Brea, CA 92821

Phone

(818) 934-1152

NPI assigned

Jul 30, 2019

Last updated

Aug 11, 2023By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lifestancehealth.chanelleibsohn@148377.advancedmd-direct.com

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1528612306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 YORKTOWN AVE # 1067",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SOUTH RANDOLPH AVE STE 120",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "818-934-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBSOHN",
        "first_name": "CHANEL",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Sungmi Lee, COTA/L
• Sang Chun Lee, D.D.S.
• Tae Ho Lee, DPT
• Victoria Jin Lee, LAC
• Nicholas Lehnert, DC
• Lena S Debaz DMD Dental Practice (Energetic Smile)
• Lenarra Therapy, a Professional Clinical Social Worker Corporation
• Travis William Leong, PT, DPT
• Kirsten Michelle Leptich, RN
• Jack Dennis Lewis, DDS

• Clinical Psychologist in Brea, CA
• Providers in Brea, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.