Martin Leichtman, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.011161 Issued in IL

Practice address

2272 95TH St Ste 305
Naperville, IL 60564-8944

Phone

(630) 753-9800

Fax

(913) 345-1464

NPI assigned

Jun 1, 2006

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Male

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 KS, IL2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1972

Medicare assignment

May accept Medicare assignment

Group practices

Modify PCGroup PAC ID 8628355963, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modify, P.C.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1457479503
  Medicare reassignment Care Compare group NPD
• Responsive Management Clinic, Inc.

  dba Responsive Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
  • NPI 1164512562
  Medicare reassignment

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1700823390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 BELLWETHER DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605033116",
            "telephone_number": "913-961-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 95TH ST STE 305",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648944",
            "telephone_number": "630-753-9800",
            "fax_number": "913-345-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHTMAN",
        "first_name": "MARTIN",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "296",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leena Bird Physical Therapy PLLC
• Legacy Counseling Services PLLC
• Legacy Physical Therapy and Wellness PLLC
• Ellia Leger
• Janet Lin Lehr, O.D.
• Robert Lejawa, D.O.
• Heather Lemke, MA, NCC, LCPC
• Brian J Lenahan, D.O.
• Julie Anne Lendzion, M.S.
• James A Lengemann, MD

• Clinical Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.