Active NPI
Leadership Psychology Services Inc
- Clinical Psychologist
- Concord, MA
National Provider Identifier
1750749149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9751
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 9751 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 9751 | MA | |
| Clinical Psychologist | 103TC0700X | 9751 | MA | Primary |
| Group Psychotherapy Psychologist | 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 DirectoryLocations
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.