Active NPI
Leslie Anne Ross, PSY.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1659498160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY21187
- Practice address
- 711 S New Hampshire Ave
Los Angeles, CA 90005-1831 - Phone
- (213) 807-1830
- Fax
- (213) 251-3673
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- 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 | PSY21187 | CA | Primary |
Addresses
Primary practice location
711 S New Hampshire Ave
Los Angeles, CA 90005-1831
Mailing address
14380 W Sunset Blvd
Pacific Palisades, CA 90272-3935
Phone (213) 807-1830
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY21187 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659498160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14380 W SUNSET BLVD",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723935",
"telephone_number": "213-807-1830",
"fax_number": "213-251-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S NEW HAMPSHIRE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051831",
"telephone_number": "213-807-1830",
"fax_number": "213-251-3673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LESLIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY21187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.