Leslie Dozzo, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

735 Issued in NM

Practice address

6611 Gulton CT NE
Albuquerque, NM 87109-4407

Phone

(505) 296-3965

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Children'S Treatment Center

  • Mental Illness Community Based Residential Treatment Facility
  • Albuquerque, NM
  • NPI 1750370847
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831214949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 THUNDERBIRD CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202163",
            "telephone_number": "505-296-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 GULTON CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094407",
            "telephone_number": "505-296-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZZO",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1919",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "NM600109",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1855",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayla Doyle
• Jeff Doyle, MSW
• Robert Dwayne Doyle Jr.
• Tiffany Ann Doyle, CNP
• Gloria Emma Dozal
• Dr Alissa M Irons LLC
• Dr Barney Carter DMD PC
• Dr Barney W Carter DMD PC
• Dr Eric Zhaos Acupuncture & Herbal Clinic
• Dr Helen Marie Pearce Ed D LLC

• Counseling Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Counseling Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.