Leibow Psychology Group, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LEIBOW PSYCHOLOGY GROUP, PC

Practice address

11175 Campus St
Loma Linda, CA 92350-1700

Phone

(305) 336-1168

NPI assigned

Nov 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michael Leibow, PSYD

Title

President

Phone

(305) 336-1168

Specialties & licenses 4

Addresses

Other names 1

• Vantage Behavioral Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorraine Abaro Thomas, PSYD, DRPH

  • Clinical Psychologist
  • Redlands, CA
  • NPI 1902378458
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1760028575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8583 IRVINE CENTER DR # 381",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184298",
            "telephone_number": "305-336-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 CAMPUS ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501700",
            "telephone_number": "305-336-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIBOW PSYCHOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "LEIBOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-336-1168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vantage Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vantage Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor Lee
• Kevin Leeper
• Katherine M. Leff, LCSW
• Elaine Marie Legaspi
• Varner Leroy Leggitt, D.D.S.
• Rebekah M Leigh, MD
• Leisure Yu, MD, Inc.
• Patrick Douglas Leiter, M.D.
• Eden Raina Lemeau
• Evan Elizabeth Lemley, DDS

• Clinical Psychologist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.