Leslie Rose Riley, PSY.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

1215 Issued in OK

Practice address

12906 E 106TH St N
Owasso, OK 74055-5909

Phone

(918) 240-9380

Fax

(918) 376-4586

NPI assigned

Apr 6, 2006

Last updated

Sep 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Leaf Institute PLLC

  • Health Service Psychologist
  • Owasso, OK
  • NPI 1295130508
  Medicare reassignment NPD Authorized official
• A Healing Connection Psychological

  dba A Healing Connection Psychological Services PLLC

  • Psychologist
  • Owasso, OK
  • NPI 1780172320
  NPD (past)
• Joyce Fowler, P.a.

  dba The Fowler Institute

  • Clinical Psychologist
  • Little Rock, AR
  • NPI 1689607343
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1881656494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12906 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555909",
            "telephone_number": "918-240-9380",
            "fax_number": "918-376-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12906 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555909",
            "telephone_number": "918-240-9380",
            "fax_number": "918-376-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LESLIE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "03-9P",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200579150A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restoration Chiropractic LLC
• Amanda Reyes, COTA/L
• Jennifer Lynn Reynolds, O.D.
• Joanna M Ricketts, COTA
• Jan Jay Rigney, O.D.
• Tiffany Lee Rinas, LPC, LCDC
• Kassidy T Rinck, RN
• Jacklyn Annmarie Riner
• Jessica Lynne Ring
• Liesa Marie Ritchie, PT

• Health Service Psychologist in Owasso, OK
• Providers in Owasso, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.