Active NPI
Leah Marie Osborn-Redington, PH.D.
- Clinical Psychologist
- Burnsville, MN
National Provider Identifier
1942451091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4751
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4751 | MN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Point Psychological Consultants | Forensic | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.