Individual provider Active NPI

Paula Lou Leshine, PH.D.

  • Psychologist
  • Guilford, CT
National Provider Identifier
1689656688
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1709 Issued in CT
Practice address
1575 Boston Post Rd
Suite C9
Guilford, CT 06437-2319
Phone
(203) 458-0827
Fax
(203) 488-6573
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1709 CT Primary

Addresses

Primary practice location

1575 Boston Post Rd
Suite C9
Guilford, CT 06437-2319

Mailing address

1575 Boston Post Rd
Suite C9
Guilford, CT 06437-2319
Phone (203) 458-0827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20110721000535 CT Practitioner - Clinical Psychologist 5395913164 Practice locations: Branford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Brookhills Rd
Branford, CT 06405-2815
Phone (203) 464-0747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J. Ostrowski, Psy.D. LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1689656688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 BOSTON POST RD",
            "address_2": "SUITE C9",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372319",
            "telephone_number": "203-458-0827",
            "fax_number": "203-488-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BOSTON POST RD",
            "address_2": "SUITE C9",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372319",
            "telephone_number": "203-458-0827",
            "fax_number": "203-488-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESHINE",
        "first_name": "PAULA",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.