Active NPI
Leslie J Newport, PSY.D.
- Clinical Psychologist
- Highland Park, NJ
National Provider Identifier
1952855959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00305600
- Practice address
- 85 Raritan Ave Ste 420
Highland Park, NJ 08904-2439 - Phone
- (732) 524-8600
- Fax
- (646) 583-8600
- NPI assigned
- Aug 8, 2016
- Last updated
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-13764 | NJ | |
| Clinical Psychologist | 103TC0700X | 35SI00305600 | NJ | Primary |
Addresses
Primary practice location
85 Raritan Ave Ste 420
Highland Park, NJ 08904-2439
Mailing address
832 William Dr
Brielle, NJ 08730-1738
Phone (732) 524-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00305600 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy and Psychological Consulting, LLC | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Highland Park, NJ
- NPI 1366996373
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1952855959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 WILLIAM DR",
"city": "BRIELLE",
"state": "NJ",
"postal_code": "087301738",
"telephone_number": "732-524-8600",
"fax_number": "646-583-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 RARITAN AVE STE 420",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042439",
"telephone_number": "732-524-8600",
"fax_number": "646-583-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWPORT",
"first_name": "LESLIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-13-13764",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00305600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.