Individual provider Active NPI

Leila Glass, PHD

  • Clinical Neuropsychologist
  • Beverly Hills, CA
National Provider Identifier
1881031458
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
30698 Issued in CA
Practice address
9401 Wilshire Blvd Ste 730
Beverly Hills, CA 90212-2946
Phone
(310) 273-2701
Fax
(310) 273-1127
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Neuropsychologist 103G00000X 30698 CA Primary

Addresses

Primary practice location

9401 Wilshire Blvd Ste 730
Beverly Hills, CA 90212-2946

Mailing address

9401 Wilshire Blvd Ste 730
Beverly Hills, CA 90212-2946
Phone (310) 273-2701

Other practice location 1

760 Westwood Plz # C8-749
Los Angeles, CA 90095-4223
Phone (424) 209-2511

Other names 1

  • Dr. Leila Glass Difeliciantonio Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Ellenberg, PH.D. and Associates Clinical Neuropsychologist PastSince May 11, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1881031458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD STE 730",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122946",
            "telephone_number": "310-273-2701",
            "fax_number": "310-273-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD STE 730",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122946",
            "telephone_number": "310-273-2701",
            "fax_number": "310-273-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Westwood Plz # C8-749",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900954223",
            "country_code": "US",
            "telephone_number": "424-209-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "LEILA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "30698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILA",
            "last_name": "GLASS DIFELICIANTONIO",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.