Paul Sheldon Leonard, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33504 Issued in MS

Practice address

7075 Golden Oaks Loop W
Southaven, MS 38671-9010

Phone

(901) 485-1848

Fax

(662) 349-3988

NPI assigned

Oct 12, 2006

Last updated

Jul 7, 2008By the provider in NPPES

Sex

Male

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 TN, MS2 enrollments

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 2

Specialty

Clinical Psychologist

Education

University of Mississippi School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1891884177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 GOLDEN OAKS LOOP W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719010",
            "telephone_number": "901-485-1848",
            "fax_number": "662-349-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 GOLDEN OAKS LOOP W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719010",
            "telephone_number": "901-485-1848",
            "fax_number": "662-349-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "PAUL",
        "middle_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "33504",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "TN",
            "license": "1738",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114219",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Kiara Lee, LPN
• Stephanie Denise Lee, PHARMD
• Lending Care Transportation
• Lending Care Transportation
• Melissa D. Leonard, PT
• Lexi Caviness Lerossignol, PLPC
• Sharon Letson, RBT
• Christopher Randal Lewis, PHARM.D, MBA
• Patricia Leanne Lewis, FNP-C
• David Ray Libby, D.D.S.

• Clinical Psychologist in Southaven, MS
• Providers in Southaven, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.