Leanne Marie Ekstrom

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

26133 Issued in CA

Practice address

2100 Napa Vallejo Hwy
Department of State Hospitals
Napa, CA 94558-6234

Phone

(916) 651-8906

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Leanne M Stanley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1831351840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 UNIVERSITY AVE APT 416",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY",
            "address_2": "DEPARTMENT OF STATE HOSPITALS",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586234",
            "telephone_number": "916-651-8906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39155 Liberty St",
            "address_2": "Suite E500",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381513",
            "country_code": "US",
            "telephone_number": "510-574-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKSTROM",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANNE",
            "last_name": "STANLEY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Eichenberger, PSYD
• Lora K Eichner Blanusa, M.D.
• Megan Roberts Eierman, LMFT
• Meghan Elizabeth Eisberg, LCSW
• Howard Matthew Eisenstark, MD
• Leila El-Mahmoud, RDN
• Cortney Elahi
• Nazanin Elahi, M.D.
• Shan Marwan Elahi, MD
• Elephant Ear Hearing Services, Inc.

• Clinical Psychologist in Napa, CA
• Providers in Napa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.