Cristina I Leclair, PSY D LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018287 Issued in MI

Practice address

1122 N Leroy St Ste a
Fenton, MI 48430-2789

Phone

(810) 373-5591

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Intentional Wellbeing LLC

  • Clinical Psychologist
  • Fenton, MI
  • NPI 1366994410
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1679766240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N LEROY ST STE A",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302789",
            "telephone_number": "819-373-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N LEROY ST STE A",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302789",
            "telephone_number": "810-373-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Washtenaw Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481044525",
            "country_code": "US",
            "telephone_number": "810-373-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "CRISTINA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "PSY D LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018287",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Lamphier
• Kimberly Kay Lange, FNP-BC
• Larry L Pack MD PC
• Laurie Denise Lawlor-Clark, CPS, MSW
• Lauren Ann Lay, MA, TLLP
• Patricia Ann Lee
• Alyson Marie Lenz
• Joseph Matthew Leppek, O.D.
• Leroy Pharmacy LLC
• Leroy Pharmacy LLC

• Clinical Psychologist in Fenton, MI
• Providers in Fenton, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.