Organization Active NPI

Leadership Psychology Services Inc

  • Clinical Psychologist
  • Concord, MA
National Provider Identifier
1750749149
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9751 Issued in MA
Legal business name
LEADERSHIP PSYCHOLOGY SERVICES INC
Practice address
747 Main St
Suite #319
Concord, MA 01742-3302
Phone
(978) 393-1925
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Dr. Michael Cassella, PH.D.
Title
President
Phone
(978) 393-1925

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X 9751 MA
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 9751 MA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 9751 MA Primary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X 9751 MA

Addresses

Primary practice location

747 Main St
Suite #319
Concord, MA 01742-3302

Mailing address

102 South Rd
Pepperell, MA 01463-1257

National Provider Directory

National Provider Directory

Locations

747 Main St
Ste 319
Concord, MA 01742
Phone (978) 393-1925

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1750749149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SOUTH RD",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MAIN ST",
            "address_2": "SUITE #319",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423302",
            "telephone_number": "978-393-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADERSHIP PSYCHOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "CASSELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-393-1925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MA",
            "license": "9751",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "9751",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9751",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": "9751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.