Andrew J Leone, PSYD a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ANDREW J LEONE, PSYD A PSYCHOLOGICAL CORPORATION

Practice address

325 E Hillcrest Dr Ste 115
Thousand Oaks, CA 91360-7782

Phone

(415) 519-5961

NPI assigned

Aug 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Joseph Leone, PSYDNPI 1619162260

Title

Owner

Phone

(415) 519-5961

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Andrew Joseph Leone, PSYD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1619162260
  Medicare reassignment NPD Authorized official
• Lori Ann Thomas-Shaw, PH.D.

  • Clinical Psychologist
  • Thousand Oaks, CA
  • NPI 1174740070
  NPD

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1780359240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11759 SEMINOLE CIR",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261423",
            "telephone_number": "415-519-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST DR STE 115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607782",
            "telephone_number": "415-519-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J LEONE, PSYD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-519-5961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.