Active NPI
F. Timothy Leonberger, PH.D.
- Psychologist
- Saint Louis, MO
National Provider Identifier
1629263744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01272
- Practice address
- 10777 Sunset Office Dr
Suite 315
Saint Louis, MO 63127-1019 - Phone
- (314) 965-0101
- Fax
- (314) 965-2562
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01272 | MO | Primary |
Addresses
Primary practice location
10777 Sunset Office Dr
Suite 315
Saint Louis, MO 63127-1019
Mailing address
10777 Sunset Office Dr
Suite 315
Saint Louis, MO 63127-1019
Phone (314) 965-0101
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01272 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1629263744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10777 SUNSET OFFICE DR",
"address_2": "SUITE 315",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271019",
"telephone_number": "314-965-0101",
"fax_number": "314-965-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10777 SUNSET OFFICE DR",
"address_2": "SUITE 315",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271019",
"telephone_number": "314-965-0101",
"fax_number": "314-965-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONBERGER",
"first_name": "F.",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "01272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.