Maryelizabeth Forman Leboeuf, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

975 Issued in LA

Practice address

1651 Thibodeaux Ave Ste a
Baton Rouge, LA 70806-8271

Phone

(225) 267-7763

Fax

(855) 398-6697

NPI assigned

May 31, 2005

Last updated

May 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Maryelizabeth Forman Leboeuf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Maryelizabeth Leboeuf PHD, LLC

  • Clinical Psychologist
  • Baton Rouge, LA
  • NPI 1366055865
  NPD
• Ascension Surgical Associates, LLC

  • Surgery Physician
  • Gonzales, LA
  • NPI 1184693582
  NPD (past)
• Bianchini-Frey/Forman, LLC

  • Clinical Psychologist
  • Metairie, LA
  • NPI 1386959617
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1750384103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 THIBODEAUX AVE STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068271",
            "telephone_number": "225-267-7763",
            "fax_number": "855-398-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 THIBODEAUX AVE STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068271",
            "telephone_number": "225-267-7763",
            "fax_number": "855-398-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN LEBOEUF",
        "first_name": "MARYELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128850",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYELIZABETH",
            "last_name": "FORMAN LEBOEUF",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Nathan Forester, DO
• Kate Hotard Foret, M.D.
• Lindsey Graugnard Foret, LOTR, MOT
• Forget Me Not Medical Service LLC
• Burl Eugene Forgey IV, M.D.
• Christopher B Formanek, D.P.M.
• Barbara Bjork Fornias, LCSW
• Behrang Kian Foroughian, PHARM D
• Yashar Nasim Foroughian
• Meagan W. Forrest, NP

• Clinical Psychologist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.