C Girvani Leerer, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

24631 Issued in CA

Practice address

3637 Grand Ave
Suite G
Oakland, CA 94610-2029

Phone

(510) 649-9624

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1740332139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2956",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947020956",
            "telephone_number": "510-649-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 GRAND AVE",
            "address_2": "SUITE G",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102029",
            "telephone_number": "510-649-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEERER",
        "first_name": "C",
        "middle_name": "GIRVANI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "7289",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "24631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0596175",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Leebowo, MS
• Shoshana Leeder, PH.D.
• Gabrielle Adisa Leegant, MFTI
• Ann Leemhuis, NP
• Marie Antoinette Leer
• Leesha Mony
• Lisa Anne Lefebre, RN
• Elizabeth Lefebvre
• Frederick William Lefevre, CRCC
• Kathleen Patricia Lefevre, NP

• Counseling Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.