Leah Powell, PHD, HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042220 Issued in IN

Practice address

1211 E National Ave
Brazil, IN 47834-2717

Phone

(812) 448-8801

Fax

(812) 446-5302

NPI assigned

Dec 31, 2007

Last updated

Jul 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Hamilton Center, Inc.

  • Community/Behavioral Health Agency
  • Terre Haute, IN
  • NPI 1205980901
  Medicare reassignment NPD
• Hamilton Center Inc.

  dba WIN Recovery-Knox

  • Methadone Clinic
  • Vincennes, IN
  • NPI 1265053854
  NPD
• Hamilton Center, Inc.

  • Community/Behavioral Health Agency
  • Terre Haute, IN
  • NPI 1649007774
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1821273566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478040323",
            "telephone_number": "812-231-8315",
            "fax_number": "812-231-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342717",
            "telephone_number": "812-448-8801",
            "fax_number": "812-446-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200889860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Pelliccia, MD
• PJC LLC
• Shauna Elizabeth Poe, FNP-BC
• Patricia Sue Pound, OT
• June Marie Powell, R.PH.
• Jordan Prindiville, PT
• Proactive Mso, LLC (Proactive MD Brazil Health Center)
• Pure Health Acupuncture, LLC
• Barbara M. Purnell, CNM
• Putnam County Hospital (HutsonWood at Brazil)

• Clinical Psychologist in Brazil, IN
• Providers in Brazil, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.