Active NPI
Kim Leong, PH.D.
- Clinical Psychologist
- St. Paul, MN
National Provider Identifier
1679219257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY12676
- Practice address
- Truman Group, LLC; 241 Cleveland Ave. S.
St. Paul, MN 55105 - Phone
- (651) 371-5559
- NPI assigned
- May 7, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY12676 | CA | Primary |
Addresses
Primary practice location
Truman Group, LLC; 241 Cleveland Ave. S.
St. Paul, MN 55105
Mailing address
Unit 6350 Box 5025
Dpo, AE 09847-5025
Phone (360) 670-4349
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12676 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1679219257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "UNIT 6350 BOX 5025",
"city": "DPO",
"state": "AE",
"postal_code": "098475025",
"telephone_number": "360-670-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRUMAN GROUP, LLC; 241 CLEVELAND AVE. S.",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "55105",
"telephone_number": "651-371-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "KIM",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-07",
"last_updated": "2022-10-28",
"certification_date": "2022-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.