Individual provider Active NPI

Stacie Ann Leffard, PH.D.

  • Clinical Neuropsychologist
  • Pittsburgh, PA
National Provider Identifier
1649524596
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS016829 Issued in PA
Practice address
6301 Northumberland St
Pittsburgh, PA 15217-1350
Phone
(412) 420-2254
Fax
(412) 420-2510
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PS016829 PA
Clinical Neuropsychologist 103G00000X PS016829 PA Primary

Addresses

Primary practice location

6301 Northumberland St
Pittsburgh, PA 15217-1350

Mailing address

1405 Shady Ave
Pittsburgh, PA 15217-1350
Phone (412) 420-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211110002250 PA Practitioner - Clinical Psychologist 4385952829 Reassigns benefits to 1 organization
I20250811000008 GA Practitioner - Psychiatry 4385952829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minder Neuropsychological Services IncGroup PAC ID 8729442819, 9 clinicians

Practice addresses (Care Compare)

205 Fosterville Rd
Greensburg, PA 15601-4781
Phone (855) 264-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Oldenburg Psychological Services Inc Current Accepting new patients
Inpatient Psychology Solutions LLC Clinical Neuropsychologist CurrentSince Jun 20, 2025 Accepting new patients
Minder Neuropsychological Services Inc. CurrentSince Jun 5, 2024 Accepting new patients

Locations

1265 Interstate Pkwy
#B
Augusta, GA 30909
Phone (706) 204-1366

Organizations & group practices 3

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1649524596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171350",
            "telephone_number": "412-420-2254",
            "fax_number": "412-420-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 NORTHUMBERLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171350",
            "telephone_number": "412-420-2254",
            "fax_number": "412-420-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFARD",
        "first_name": "STACIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS016829",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS016829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.