Leading Change PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LEADING CHANGE PC

Practice address

7250 College Drive
Suite 1W
Palos Heights, IL 60463

Phone

(630) 247-5597

Fax

(630) 734-0359

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nancy L Nelson, PSYD

Title

Licensed Clinical Psychologist

Phone

(630) 247-5597

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902964695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 JUSTINA ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-247-5597",
            "fax_number": "630-734-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 COLLEGE DRIVE",
            "address_2": "SUITE 1W",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "630-247-5597",
            "fax_number": "630-734-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING CHANGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-247-5597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1635024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl J Laudando, DDS
• Lawrence J Meekma DDS LTD
• Deborah Ann Lawrence, APRN, RN, CNS, CDCES
• Denise Ann Lazowski, M.H.S., SLP-CCC
• Katie E Lazowski
• Beth Ledvora, M.D.
• Laura Ledvora, MD
• Raymond Chungcure Lee, MD
• Roger H Lee, M.D.
• John Leech, CADC

• Clinical Psychologist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.