Individual provider Active NPI

Harry Macgregor Leichtman, PHD

  • Clinical Child & Adolescent Psychologist
  • Needham, MA
National Provider Identifier
1649216193
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
3004 Issued in MA
Practice address
400 Hillside Ave
Haml Clinical Associates
Needham, MA 02494-1263
Phone
(781) 449-6393
Fax
(781) 449-6393
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 3004 MA Primary

Addresses

Primary practice location

400 Hillside Ave
Haml Clinical Associates
Needham, MA 02494-1263

Mailing address

400 Hillside Ave
Haml Clinical Associates
Needham, MA 02494-1263
Phone (781) 449-6393

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
Previously, effective Sep 4, 2018 through Sep 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1649216193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HILLSIDE AVE",
            "address_2": "HAML CLINICAL ASSOCIATES",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941263",
            "telephone_number": "781-449-6393",
            "fax_number": "781-449-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HILLSIDE AVE",
            "address_2": "HAML CLINICAL ASSOCIATES",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941263",
            "telephone_number": "781-449-6393",
            "fax_number": "781-449-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHTMAN",
        "first_name": "HARRY",
        "middle_name": "MACGREGOR",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "3004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.