Individual provider Active NPI

Leah Marie Osborn-Redington, PH.D.

  • Clinical Psychologist
  • Burnsville, MN
National Provider Identifier
1942451091
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4751 Issued in MN
Practice address
2805 Cliff Rd E Ste 200
Burnsville, MN 55337-4095
Phone
(952) 500-9324
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X
Clinical Psychologist 103TC0700X 4751 MN Primary

Addresses

Primary practice location

2805 Cliff Rd E Ste 200
Burnsville, MN 55337-4095

Mailing address

2805 Cliff Rd E Ste 200
Burnsville, MN 55337-4095
Phone (952) 500-9324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090930000313 MN Practitioner - Clinical Psychologist 1759433113 Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4751MNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Point Psychological Consultants Forensic CurrentSince Mar 5, 2023 Accepting new patients

Locations

2805 Cliff Rd E
Ste 200
Burnsville, MN 55337
Phone (952) 220-3268

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1942451091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CLIFF RD E STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374095",
            "telephone_number": "952-500-9324",
            "fax_number": "612-440-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CLIFF RD E STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374095",
            "telephone_number": "952-500-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN-REDINGTON",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.