Carol a Love Leach, M.a., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CAROL A LOVE LEACH, M.A., P.C.

Practice address

5665 W Maple Rd Ste a
West Bloomfield, MI 48322-3741

Phone

(248) 830-6357

Fax

(248) 626-8836

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol A Leach, MANPI 1114931615

Title

Owner

Phone

(248) 830-6357

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Ann Love Leach, MA LLP

  • Psychologist
  • Farmington Hills, MI
  • NPI 1114931615
  Authorized official Same address or phone

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1962146449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HICKORY LN",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272570",
            "telephone_number": "248-830-6357",
            "fax_number": "248-626-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 W MAPLE RD STE A",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223741",
            "telephone_number": "248-830-6357",
            "fax_number": "248-626-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A LOVE LEACH, M.A., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-830-6357",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11712865",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leachcarol146@gmsil.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Fax",
            "address_1": "5665 W Maple Rd Ste A",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.