Active NPI
Leighann Denise Dejesse
- Student in an Organized Health Care Education/Training Program
- San Francisco, CA
National Provider Identifier
1750578712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 90 Alhambra St
Apt. 401
San Francisco, CA 94123-2116 - Phone
- (415) 971-9090
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Clinical Psychologist | 103TC0700X | PSY26322 | CA |
Addresses
Primary practice location
90 Alhambra St
Apt. 401
San Francisco, CA 94123-2116
Mailing address
90 Alhambra St
Apt. 401
San Francisco, CA 94123-2116
Phone (415) 971-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
940 S Coast Dr
Suite 225
Costa Mesa, CA 92626-7757
Phone (949) 743-1457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26322 | CA | MD | Clinical Psychologist |
| 26322 | CA | MD | Reflexologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Evans PHD Psychology PC | Clinical | Current | Accepting new patients |
Locations
2173 Salk Ave
Ste 250
Carlsbad, CA 92008
Phone (760) 477-8585
940 S Coast Dr
Ste 225
Costa Mesa, CA 92626
Phone (949) 742-1457
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.
-
- Clinical Psychologist
- Costa Mesa, CA
- NPI 1861902280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1750578712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 ALHAMBRA ST",
"address_2": "APT. 401",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941232116",
"telephone_number": "415-971-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 ALHAMBRA ST",
"address_2": "APT. 401",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941232116",
"telephone_number": "415-971-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJESSE",
"first_name": "LEIGHANN",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY26322",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.