Individual provider Active NPI

Leslie J Robison, PH.D.

  • Health Service Psychologist
  • Pullman, WA
National Provider Identifier
1861584328
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
PY00003113 Issued in WA
Practice address
825 SE Bishop Blvd Ste 200
Pullman, WA 99163-5537
Phone
(509) 332-2517
Fax
(509) 334-9247
NPI assigned
Sep 29, 2006
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X PY00003113 WA Primary
Psychologist 103T00000X

Addresses

Primary practice location

825 SE Bishop Blvd Ste 200
Pullman, WA 99163-5537

Mailing address

1620 SE Summit CT
Pullman, WA 99163-5540
Phone (509) 332-5106

Other practice location 1

1620 SE Summit Ct
Pullman, WA 99163-5540
Phone (509) 332-5106

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
I20050114000808 WA Practitioner - Clinical Psychologist 8527017615 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00003113WAMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palouse Medical PS CurrentSince Jun 17, 2019 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Aug 27, 2014 Accepting new patients
Centerstone of Indiana, Inc. Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

825 SE Bishop Blvd
Ste 200
Pullman, WA 99163
Phone (509) 332-2517

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

1620 SE Summit Ct
Pullman, WA 99163
Phone (509) 332-5106

Organizations & group practices 5

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1861584328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SE SUMMIT CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635540",
            "telephone_number": "509-332-5106",
            "fax_number": "509-334-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 200",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635537",
            "telephone_number": "509-332-2517",
            "fax_number": "509-334-9247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 SE Summit Ct",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991635540",
            "country_code": "US",
            "telephone_number": "509-332-5106",
            "fax_number": "509-334-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "LESLIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "WA",
            "license": "PY00003113",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.