Individual provider Active NPI

Leslie Anne Savage, PSY D

  • Clinical Psychologist
  • Silverdale, WA
National Provider Identifier
1831195486
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002840 Issued in WA
Practice address
1191 NW Tahoe Lane
Silverdale, WA 98383
Phone
(360) 698-4860
Fax
(360) 698-3849
NPI assigned
Jun 27, 2005
Last updated
Oct 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY00002840 WA
Adult Development & Aging Psychologist 103TA0700X PY00002840 WA
Clinical Psychologist 103TC0700X PY00002840 WA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PY00002840 WA
School Psychologist 103TS0200X EDUCATION SVC CERT. WA

Addresses

Primary practice location

1191 NW Tahoe Lane
Silverdale, WA 98383

Mailing address

1191 NW Tahoe Lane
Silverdale, WA 98383
Phone (360) 698-4860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000244 WA Practitioner - Clinical Psychologist 8921191933

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1191 NW Tahoe Lane
Silverdale, WA 98383-7954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EDUCATION SVC CERT.WAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Jul 20, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Jul 20, 2024 Accepting new patients

Locations

12025 115th Ave NE
Ste 200
Kirkland, WA 98034
Phone (425) 821-1810

13128 Totem Lake Blvd NE
Ste 104
Kirkland, WA 98034
Phone (425) 202-7748

450 S Kitsap Blvd
Ste 260
Port Orchard, WA 98366
Phone (360) 698-4860

19500 10th Ave NE
Ste 270
Poulsbo, WA 98370
Phone (360) 625-9596

15965 NE 85th St
Ste 101
Redmond, WA 98052
Phone (425) 868-5777

16150 NE 85th St
Ste 121
Redmond, WA 98052
Phone (425) 868-5777

1191 NW Tahoe Ln
Silverdale, WA 98383
Phone (360) 698-4860

Interoperability endpoints

  • Direct secure messaging: leslie.savage.1@28621.direct.athenahealth.com

Organizations & group practices 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1831195486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 NW TAHOE LANE",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-698-4860",
            "fax_number": "360-698-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 NW TAHOE LANE",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-698-4860",
            "fax_number": "360-698-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY00002840",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "WA",
            "license": "PY00002840",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002840",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY00002840",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WA",
            "license": "EDUCATION SVC CERT.",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.