Manjot Dhooper Leafgreen, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 8213 Issued in FL

Practice address

1821 Business Park Blvd
Daytona Beach, FL 32114-1230

Phone

(386) 366-6700

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Manjot Kaur Dhooper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• State of South Dakota

  • Psychiatric Hospital
  • Yankton, SD
  • NPI 1124027586
  NPD (past)
• State of South Dakota

  • Audiologist
  • Vermillion, SD
  • NPI 1346366044
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399680000000",
    "number": "1558791087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 BUSINESS PARK BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141230",
            "telephone_number": "386-366-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BUSINESS PARK BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141230",
            "telephone_number": "386-366-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAFGREEN",
        "first_name": "MANJOT",
        "middle_name": "DHOOPER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2014-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8213",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJOT",
            "last_name": "DHOOPER",
            "middle_name": "KAUR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Laxton, BCBA
• Vola Harivony Le Roux, NP
• Cindy Le
• Elizabeth Ann Le, M.D.
• Thuy Kim Le, M.D.
• Patricia Murray Leapley, M.S.,R.D.,LD/N
• Alohnna-Elyse Vanessa Lee
• Ashley Lee, BCBA
• Chee Y Lee, MD
• Karla Lee, M.D.

• Clinical Psychologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2014; 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.

Verify at the official NPI Registry.