Individual provider Active NPI

Leon Austin, PSY.D., M.S.

  • Psychologist
  • Alma, MI
National Provider Identifier
1891065694
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013213 Issued in MI
Practice address
116 W Superior St Ste 4
Alma, MI 48801-1650
Phone
(989) 576-0554
NPI assigned
Jan 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013213 MI Primary

Addresses

Primary practice location

116 W Superior St Ste 4
Alma, MI 48801-1650

Mailing address

2683 W Buchanan Rd
Ithaca, MI 48847-9640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170203000949 MI Practitioner - Clinical Psychologist 5193047553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinton County Medical Center Psychological Services PLLCGroup PAC ID 4082843412, 14 clinicians

Practice addresses (Care Compare)

724 E Superior St
Gratiot Psychological Services
Alma, MI 48801-1900
Phone (989) 796-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Jan 10, 2017 Accepting new patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Jan 10, 2017 Accepting new patients
Alma Counseling Center PLLC PastSince Feb 1, 2016 Accepting new patients
Sermic Psychological and Counseling Associates Past Accepting new patients

Locations

724 E Superior St
Alma, MI 48801
Phone (989) 292-6194

1505 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-0710

Organizations & group practices 4

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1891065694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 W BUCHANAN RD",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488479640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W SUPERIOR ST STE 4",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011650",
            "telephone_number": "989-576-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "LEON",
        "credential": "PSY.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.