Individual provider Active NPI

Tasha Leno

  • Psychologist
  • Grosse Pointe, MI
National Provider Identifier
1790264760
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361007686 Issued in MI
Practice address
377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673
Phone
(248) 537-2489
NPI assigned
Aug 10, 2018
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361007686 MI Primary

Addresses

Primary practice location

377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673

Mailing address

377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673
Phone (313) 732-7861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6361007686MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Psychological Services LLC CurrentSince Mar 1, 2022 Accepting new patients
Innovative Psychological Services and Assessments PLLC CurrentSince Mar 1, 2022 Accepting new patients
Stepping Stones Wellness Center, PLLC Clinical PastSince Aug 22, 2016 Accepting new patients

Locations

377 Fisher Rd
Ste D3
Grosse Pointe, MI 48230
Phone (248) 537-2489

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1790264760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 FISHER RD STE D3",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301673",
            "telephone_number": "313-732-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 FISHER RD STE D3",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301673",
            "telephone_number": "248-537-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENO",
        "first_name": "TASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.