Organization Active NPI

Nancy Leslie PHD & Associates in Medical Psychology, PC

  • Clinical Neuropsychologist
  • Bryan, TX
National Provider Identifier
1891703583
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NANCY LESLIE PHD & ASSOCIATES IN MEDICAL PSYCHOLOGY, PC
Practice address
3201 University Dr E
Suite 420
Bryan, TX 77802-3475
Phone
(979) 774-1000
Fax
(979) 776-1211
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Nancy Adams Leslie, PH.D.
Title
Owner
Phone
(979) 774-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

3201 University Dr E
Suite 420
Bryan, TX 77802-3475

Mailing address

3201 University Dr E
Suite 420
Bryan, TX 77802-3475
Phone (979) 774-1000

Other identifiers 1

IdentifierTypeStateIssuer
89LCOtherTXBC/BS GROUP ID

National Provider Directory

National Provider Directory

Locations

309 N Washington Ave
Ste 1
Bryan, TX 77803
Phone (979) 774-1000

309 N Washington Ave
Ste 14
Bryan, TX 77803
Phone (979) 744-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1891703583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "SUITE 420",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-774-1000",
            "fax_number": "979-776-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "SUITE 420",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-774-1000",
            "fax_number": "979-776-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY LESLIE PHD & ASSOCIATES IN MEDICAL PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-774-1000",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP ID",
            "identifier": "89LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.