Brooke Ashley Leever, PHD
Individual provider Active NPI Psychologist · The Villages, FL
NPI 1891048922 · NPPES record last updated Mar 19, 2020
Key facts
- NPI
- 1891048922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PY8649 (FL)
- Practice address
- 1575 Santa Barbara Blvd
The Villages, FL 32159-6820 - Phone
- (352) 674-1740
- Fax
- (352) 674-8940
- NPI assigned
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centerwell Senior Primary Care Vitality Inc
Practice addresses (Care Compare)
1575 Santa Barbara Blvd
The Villages, FL 32159-6820
Phone (352) 674-1740
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 91.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.85
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130129000353 | FL | Practitioner - Clinical Psychologist | 3678727625 |
Reassigns benefits to 3 organizations Practice locations: Debary, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8649 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care Vitality Inc | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients | |
| Centerwell Senior Primary Care Vitality Inc | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients | |
| Centerwell Senior Primary Care Vitality Inc | Current | Accepting new patients | |
| The Villages Health System LLC | Current |
Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
1020 Lake Sumter Lndg
The Villages, FL 32162
280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710
1575 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 674-1740
1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108
Interoperability endpoints
- brooke.leever.1@18324.direct.athenahealth.com
- https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8649 | FL | Yes |
Addresses
Primary practice location
1575 Santa Barbara Blvd
The Villages, FL 32159-6820
Mailing address
1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905
Other practice location 1
639 Vine Ct
Apopka, FL 32703-5468
Phone (352) 359-9217
NPI Registry JSON
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1891048922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 LAKE SUMTER LNDG",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622699",
"telephone_number": "352-674-8905",
"fax_number": "352-674-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 SANTA BARBARA BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596820",
"telephone_number": "352-674-1740",
"fax_number": "352-674-8940"
}
],
"practiceLocations": [
{
"address_1": "639 Vine Ct",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327035468",
"country_code": "US",
"telephone_number": "352-359-9217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEEVER",
"first_name": "BROOKE",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY8649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.