Irving Glenn Leon, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301002943 Issued in MI

Practice address

2311 E Stadium Blvd
Suite 208
Ann Arbor, MI 48104-4833

Phone

(734) 662-2055

Fax

(734) 662-6268

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679503700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 OVERRIDGE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044152",
            "telephone_number": "734-971-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E STADIUM BLVD",
            "address_2": "SUITE 208",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044833",
            "telephone_number": "734-662-2055",
            "fax_number": "734-662-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "IRVING",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "OH14690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcie Renee Lentz, RN
• Sherry Lynn Lenz, NP
• Nicholas Lenze, MD
• Anne Harvey Leo, LLMSW
• Chase Leon
• Christine Anne Leonard, LMSW
• Daniel Leonard, LMSW
• James A Leonard Jr., MD
• Madeline Rae Leonard
• Marcia Ann Sosnowski Leonard, NP

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• 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.

Verify at the official NPI Registry.