Lesley M Manson, PSY-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4586 Issued in AZ

Practice address

550 N 3Rd St
DBH Program
Phoenix, AZ 85004-2154

Phone

(602) 496-6790

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Lesley Shaw Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1952494593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 S MARBLE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957134",
            "telephone_number": "602-369-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N 3RD ST",
            "address_2": "DBH PROGRAM",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042154",
            "telephone_number": "602-496-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSON",
        "first_name": "LESLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY20454",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "SHAW",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abdul Karim Mansaray
• Pascal Dominique Mansell
• Mark D Mansfield, MC, LAC
• Shayna M Mansfield, D.O.
• Prabhleen Kaur Manshahia, M.D.
• John Mansoor, PSYD
• Nayla Mansoor, PA-C
• Zia Mansoor, M.D.
• Sonia S Mansukhani, PHARM D
• Carol Lynn Mantei, LCSW

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.