Leanne Self, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31930 Issued in CA

Practice address

201 E Grand Ave Ste 2a
Escondido, CA 92025-2818

Phone

(619) 395-2885

Fax

(619) 393-0390

NPI assigned

Dec 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leanne Dignam Former name

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Mind & Body Psychotherapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Escondido, CA
  • NPI 1215632476
  Medicare reassignment NPD Authorized official
• Help Administrative Services Inc

  • Psychologist
  • San Diego, CA
  • NPI 1629875273
  Medicare reassignment NPD

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1669741815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 W EL NORTE PKWY # 48",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263341",
            "telephone_number": "619-395-2885",
            "fax_number": "619-393-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GRAND AVE STE 2A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252818",
            "telephone_number": "619-395-2885",
            "fax_number": "619-393-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "LEANNE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "DIGNAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summer Seay, R.N.
• Jason Cedric Aguirre Sebastian
• Peter Sedaros
• Margaret Mary Seifke, LMFT
• Vanessa Seinfeld, B.A.
• Kaelyn Selonen
• Jean Ellen Selzer, R.N.
• Donna Lee Sempek, RN
• Pushpa Sengupta, FNP
• Lori Ann Senti, SLPA

• Clinical Psychologist in Escondido, CA
• Providers in Escondido, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.