Active NPI
Jean Leonard, PH.D.
- Psychologist
- Louisville, CO
National Provider Identifier
1740742923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3069
- Practice address
- 864 W South Boulder Rd Unit 201
Louisville, CO 80027-2598 - Phone
- (303) 868-5881
- NPI assigned
- Apr 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3069 | CO | Primary |
Addresses
Primary practice location
864 W South Boulder Rd Unit 201
Louisville, CO 80027-2598
Mailing address
PO Box 17772
Boulder, CO 80308-0772
Phone (303) 868-5881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 4, 2022 through Aug 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1740742923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17772",
"city": "BOULDER",
"state": "CO",
"postal_code": "803080772",
"telephone_number": "303-868-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "864 W SOUTH BOULDER RD UNIT 201",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800272598",
"telephone_number": "303-868-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "3069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.