Kimberly Jeanne Leicester, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22058 Issued in CA

Practice address

820 Las Gallinas Ave
San Rafael, CA 94903-3410

Phone

(415) 444-3522

Fax

(415) 444-3019

NPI assigned

May 26, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1659506301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LAS GALLINAS AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033410",
            "telephone_number": "415-444-3522",
            "fax_number": "415-444-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LAS GALLINAS AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033410",
            "telephone_number": "415-444-3522",
            "fax_number": "415-444-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICESTER",
        "first_name": "KIMBERLY",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lehman Therapy: Individual, Partner, and Family Counseling, Inc.
• Julie Lehman, LMFT
• Molly Lehman
• Toni-Marie Lehmann, LMFT
• Allura Macgillivary Lehrer Lehrer, CCC-SLP
• Terri Ann Leinsteiner, PT
• Luz Amparo Lemonfield, SUDRC
• Tracy Lynn Lenzi-Johnson
• Susan Leora Leonard, MFT
• Max Y Leroux

• Clinical Psychologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.