Organization Active NPI

Leslie K. Bartolf, PH.D., Prof. Psych. Corp.

  • Clinical Psychologist
  • Los Alamitos, CA
National Provider Identifier
1760508725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13137 Issued in CA
Legal business name
LESLIE K. BARTOLF, PH.D., PROF. PSYCH. CORP.
Practice address
3551 Florista St
1D
Los Alamitos, CA 90720-2474
Phone
(626) 398-1182
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leslie Bartolf, PH.D.
Title
Principal
Phone
(626) 824-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY13137 CA Primary

Addresses

Primary practice location

3551 Florista St
1D
Los Alamitos, CA 90720-2474

Mailing address

3551 Florista St
1D
Los Alamitos, CA 90720-2474
Phone (626) 398-1182

National Provider Directory

National Provider Directory

Locations

3551 Florista St
Ste 1D
Los Alamitos, CA 90720
Phone (562) 221-4141

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760508725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 FLORISTA ST",
            "address_2": "1D",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202474",
            "telephone_number": "626-398-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FLORISTA ST",
            "address_2": "1D",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202474",
            "telephone_number": "626-398-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE K. BARTOLF, PH.D., PROF. PSYCH. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTOLF",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "626-824-4994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.