Active NPI
Leah Kelly Barrett
- School Psychologist
- Los Angeles, CA
National Provider Identifier
1891456380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 200090298
- Practice address
- 2119 S Cloverdale Ave
Los Angeles, CA 90016-1211 - Phone
- (310) 780-0697
- NPI assigned
- Jan 6, 2022
- Last updated
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 200090298 | CA | Primary |
Addresses
Primary practice location
2119 S Cloverdale Ave
Los Angeles, CA 90016-1211
Mailing address
2119 S Cloverdale Ave
Los Angeles, CA 90016-1211
Phone (323) 741-1913
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200090298 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1891456380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 S CLOVERDALE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900161211",
"telephone_number": "323-741-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 S CLOVERDALE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900161211",
"telephone_number": "310-780-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "LEAH",
"middle_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "200090298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.