Charles Samuel Leeb, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY7880 Issued in CA

Practice address

250 West First Street
Suite 246
Claremont, CA 91711-3720

Phone

(909) 238-8001

Fax

(909) 399-9704

NPI assigned

Jan 15, 2010

Sex

Male

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1942531876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WEST FIRST STREET",
            "address_2": "SUITE 246",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113720",
            "telephone_number": "909-238-8001",
            "fax_number": "909-399-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WEST FIRST STREET",
            "address_2": "SUITE 246",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113720",
            "telephone_number": "909-238-8001",
            "fax_number": "909-399-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEB",
        "first_name": "CHARLES",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Lau, DDS
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• Chelsey Lee
• Kyungsig Samuel Lee, PHD
• Vivian Wei Lee, D.D.S., M.S.
• Roderick Legaspi, DPT
• Maurice Adam Levy, PH.D.
• Wilson Lew, PHARM D
• Michael Riess Lewin, PH.D.
• Caren Li Sun

• Clinical Psychologist in Claremont, CA
• Providers in Claremont, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.