NPIMap

Organization Active NPI

Jessica Leclerc - Oasis Psychological Services, PLLC

  • Psychologist
  • Mesa, AZ
National Provider Identifier
1679938211
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4299 Issued in AZ
Legal business name
JESSICA LECLERC - OASIS PSYCHOLOGICAL SERVICES, PLLC
Practice address
1930 S Alma School Rd. Ste. A216
Mesa, AZ 85210
Phone
(480) 282-4237
Fax
(623) 900-7217
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Dr. Jessica Lee Leclerc, PSY.D.
Title
Owner/Psychologist
Phone
(480) 282-4237

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 4299 AZ Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 4299 AZ

Addresses

Primary practice location

1930 S Alma School Rd. Ste. A216
Mesa, AZ 85210

Mailing address

1930 S Alma School Rd. Ste. A216
Mesa, AZ 85210
Phone (480) 282-4237

Other names 1

  • Jessica Leclerc, Psy.D. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jessica Leclerc - Oasis Psychological Services PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1679938211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD. STE. A216",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-282-4237",
            "fax_number": "623-900-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD. STE. A216",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-282-4237",
            "fax_number": "623-900-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LECLERC - OASIS PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "LECLERC",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-282-4237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4299",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica Leclerc, Psy.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.