Leah B Schock, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1392 Issued in OR

Practice address

497 SW Century Dr
Ste 104
Bend, OR 97702-1167

Phone

(541) 678-5164

Fax

(541) 678-5017

NPI assigned

Aug 11, 2006

Last updated

Nov 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leah B. Schock PHD, LLC

  • Clinical Neuropsychologist
  • Bend, OR
  • NPI 1497010706
  NPD (past) Authorized official
• Connected Cognition LLC

  • Clinical Neuropsychologist
  • Bend, OR
  • NPI 1124661152
  NPD (past)
• Mikala L. Saccoman, PHD, LLC

  • Psychologist
  • Bend, OR
  • NPI 1164180683
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1932110038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 SW CENTURY DR",
            "address_2": "STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021167",
            "telephone_number": "541-678-5164",
            "fax_number": "541-678-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 SW CENTURY DR",
            "address_2": "STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021167",
            "telephone_number": "541-678-5164",
            "fax_number": "541-678-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOCK",
        "first_name": "LEAH",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "1392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Schmille, RDN
• Erin E Schneider, MD
• Julie Kathryne Schneider, PH.D
• Olivia Schneider
• Kolette M Schneyder
• Sarah Elizabeth Schoenhals, MD
• Stephanie Schoettler, MA
• Emily Scholten
• Linda Jane Schrader-Patton, PH.D.
• Carol Ann Schrader, MPH RD CDE

• Clinical Neuropsychologist in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.