Active NPI
Leslie Fraser, PH.D.
- Clinical Psychologist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9222
- Practice address
- 2900 W Cypress Creek Rd
#2
Fort Lauderdale, FL 33309-1715 - Phone
- (954) 915-7444
- Fax
- (954) 206-0372
- NPI assigned
- Jan 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY9222 | FL | Primary |
| Counseling Psychologist | 103TC1900X | PY9222 | FL |
Addresses
Primary practice location
2900 W Cypress Creek Rd
#2
Fort Lauderdale, FL 33309-1715
Mailing address
2900 W Cypress Creek Rd
#2
Fort Lauderdale, FL 33309-1715
Phone (954) 915-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (941) 363-0878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Counseling | Current | Accepting new patients |
| Optum Behavioral Care of North Carolina, P.C. | Current | Accepting new patients | |
| TLC Recovery Center of South Florida | Past | Accepting new patients |
Locations
7451 Wiles Rd
Ste 103
Coral Springs, FL 33067
Phone (954) 340-0173
1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005
4700 N Habana Ave
Ste 703
Tampa, FL 33614
Phone (813) 678-2373
Organizations & group practices 3
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.
-
- Counseling Psychologist
- Sarasota, FL
- NPI 1033984448
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
-
- Pharmacy
- Fort Lauderdale, FL
- NPI 1770027187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1710375134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 W CYPRESS CREEK RD",
"address_2": "#2",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091715",
"telephone_number": "954-915-7444",
"fax_number": "954-206-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W CYPRESS CREEK RD",
"address_2": "#2",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091715",
"telephone_number": "954-915-7444",
"fax_number": "954-206-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "LESLIE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9222",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY9222",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.