Active NPI
Gloria A Leitschuh Jr., PHD
- Clinical Psychologist
- Ashmore, IL
National Provider Identifier
1861690653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 9462 N C R 2000 E
Ashmore, IL 61912 - Phone
- (217) 345-3206
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | IL | ||
| Adult Development & Aging Psychologist | 103TA0700X | IL | ||
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
9462 N C R 2000 E
Ashmore, IL 61912
Mailing address
9462 N C R 2000 E
Ashmore, IL 61912
Phone (217) 345-3206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IL071005215 | IL | MD | Psychologist |
| 071005215 | IL | MD | Adult Development & Aging Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861690653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9462 N C R 2000 E",
"city": "ASHMORE",
"state": "IL",
"postal_code": "61912",
"telephone_number": "217-345-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9462 N C R 2000 E",
"city": "ASHMORE",
"state": "IL",
"postal_code": "61912",
"telephone_number": "217-345-3206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITSCHUH",
"first_name": "GLORIA",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashmore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.