Leslie Montijo-Tai, PSY-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-004905 Issued in AZ

Practice address

2225 N 16TH St
Phoenix, AZ 85006-1823

Phone

(602) 218-8194

NPI assigned

Aug 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southwest Autism Research and Resource Center

  • Psychologist
  • Phoenix, AZ
  • NPI 1750150942

  Clinical

  NPD
• Southwest Autism Research and Resource Center

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1821666439
  NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1629689583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061823",
            "telephone_number": "602-218-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061823",
            "telephone_number": "602-218-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIJO-TAI",
        "first_name": "LESLIE",
        "credential": "PSY-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.autismcenter.org",
            "affiliation": "N",
            "address_1": "2225 N 16th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850061823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sean Ryan Montgomery, MD
• Trevor S Montgomery, DMD
• Diana Montiel
• Florence Montierth, LMSW
• Kathryn Lise Montierth, NP
• Jameel Del Rosario Montijo
• Venel Montilus
• Gina D Montion, MD
• Montoya Properties LLC
• Sherry Lynn Montoya-Velasquez, FNP

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.