Individual provider Active NPI

Robert Leach, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1629368451
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3574 Issued in CO
Practice address
1400 16TH St Ste 400
Denver, CO 80202-5995
Phone
(303) 473-0707
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3574 CO Primary

Addresses

Primary practice location

1400 16TH St Ste 400
Denver, CO 80202-5995

Mailing address

PO Box 38189
Colorado Springs, CO 80937-8189
Phone (303) 473-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leach & Associates PLLC Clinical CurrentSince Apr 17, 2011 Accepting new patients

Locations

1526 Spruce St
Ste 102
Boulder, CO 80302
Phone (303) 473-0707

2727 Bryant St
Ste 510
Denver, CO 80211
Phone (303) 656-9158

1400 16th St
Ste 400
Denver, CO 80202
Phone (303) 473-0707

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.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1629368451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38189",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809378189",
            "telephone_number": "303-473-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 16TH ST STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025995",
            "telephone_number": "303-473-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "ROBERT",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.