Active NPI
Kaylee Leduc, PSY.D.
- Clinical Psychologist
- Wellesley Hills, MA
National Provider Identifier
1548701360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10000603
- Practice address
- 396 Washington St Ste 266
Wellesley Hills, MA 02481-6209 - Phone
- (855) 438-8331
- NPI assigned
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY10000603 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY12572 | FL | |
| Clinical Psychologist | 103TC0700X | PSY10000603 | MA | Primary |
Addresses
Primary practice location
396 Washington St Ste 266
Wellesley Hills, MA 02481-6209
Mailing address
10491 Gandy Blvd N Unit 2-2111
St Petersburg, FL 33702-2302
Other practice location 1
9400 4th St N Ste 200
St Petersburg, FL 33702-2501
Phone (727) 513-2962
Other practice location 2
35 Summer St Ste 202
Taunton, MA 02780-3469
Phone (508) 745-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10000603 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Clover, LLC | Current | Accepting new patients |
Locations
9400 4th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 513-2962
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1972218055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1548701360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10491 GANDY BLVD N UNIT 2-2111",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337022302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 WASHINGTON ST STE 266",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024816209",
"telephone_number": "855-438-8331"
}
],
"practiceLocations": [
{
"address_1": "9400 4th St N Ste 200",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337022501",
"country_code": "US",
"telephone_number": "727-513-2962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Summer St Ste 202",
"address_purpose": "LOCATION",
"city": "Taunton",
"state": "MA",
"postal_code": "027803469",
"country_code": "US",
"telephone_number": "508-745-3720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDUC",
"first_name": "KAYLEE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "PSY10000603",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY12572",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PSY10000603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.