Individual provider Active NPI

Kimberly Glazier Leonte, PHD

  • Clinical Psychologist
  • Andover, MA
National Provider Identifier
1720539612
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10473 Issued in MA
Practice address
40 Shattuck Rd Ste 112
Andover, MA 01810-2459
Phone
(978) 270-8925
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10473 MA Primary

Addresses

Primary practice location

40 Shattuck Rd Ste 112
Andover, MA 01810-2459

Mailing address

40 Shattuck Rd Ste 112
Andover, MA 01810-2459
Phone (978) 270-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10473MAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearview Horizons Clinical CurrentSince Feb 9, 2020 Accepting new patients

Locations

40 Shattuck Rd
Ste 112
Andover, MA 01810
Phone (978) 270-8925

21 Central St
Andover, MA 01810
Phone (978) 470-4975

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1720539612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SHATTUCK RD STE 112",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102459",
            "telephone_number": "978-270-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SHATTUCK RD STE 112",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102459",
            "telephone_number": "978-270-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONTE",
        "first_name": "KIMBERLY",
        "middle_name": "GLAZIER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.