Active NPI
Kenneth a. Leight PHD New Roads LLC
- Psychologist
- Linwood, NJ
National Provider Identifier
1811298649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00255900
- Legal business name
- KENNETH A. LEIGHT PHD NEW ROADS LLC
- Practice address
- 2106 New Rd
Suite F3
Linwood, NJ 08221-1046 - Phone
- (609) 926-1165
- Fax
- (609) 926-1228
- NPI assigned
- Nov 10, 2010
- 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
- Kenneth Leight, PHD
- Title
- Psychologist
- Phone
- (609) 926-1165
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00255900 | NJ | Primary |
Addresses
Primary practice location
2106 New Rd
Suite F3
Linwood, NJ 08221-1046
Mailing address
2106 New Rd
Suite F3
Linwood, NJ 08221-1046
Phone (609) 926-1165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Linwood, NJ
- NPI 1871527663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1811298649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 NEW RD",
"address_2": "SUITE F3",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211046",
"telephone_number": "609-926-1165",
"fax_number": "609-926-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 NEW RD",
"address_2": "SUITE F3",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211046",
"telephone_number": "609-926-1165",
"fax_number": "609-926-1228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH A. LEIGHT PHD NEW ROADS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "LEIGHT",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "609-926-1165",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00255900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.