Leading Edge Mental Health, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY16449 Issued in CA

Legal business name

LEADING EDGE MENTAL HEALTH, INC.

Practice address

2660 Townsgate Rd Ste 720
Westlake Village, CA 91361-5707

Phone

(805) 491-1581

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer KendallNPI 1851465884

Title

Owner

Phone

(805) 491-1581

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Kendall, PSY.D.

  • Clinical Psychologist
  • Westlake Village, CA
  • NPI 1851465884
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Polda, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Westlake Village, CA
  • NPI 1922785682
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1558435586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 LAKEVIEW CANYON RD # 658",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614028",
            "telephone_number": "805-491-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD STE 720",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615707",
            "telephone_number": "805-491-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-491-1581"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY16449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daria Lauhon
• Lawrence N Borelli, M.D. (L.N.Borelli M.D.,Inc)
• Laurie Lazarou
• LCMB Enterprises, LLC
• Anh Le, OPTOMETRIST
• Andrew Lee
• Barbara Janine Lee, FNP
• Brian T Lee, MFT
• Darrick Lee, D.O.
• George K Lee, DDS

• Community/Behavioral Health Agency in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.