Individual provider Active NPI

Frank Leonardi, PSY.D

  • Clinical Psychologist
  • Fredericksburg, VA
National Provider Identifier
1962452094
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002969 Issued in VA
Practice address
4107 Plank Rd Ste a
Fredericksburg, VA 22407-0113
Phone
(540) 907-4282
Fax
(540) 301-0819
NPI assigned
May 11, 2006
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810002969 VA Primary

Addresses

Primary practice location

4107 Plank Rd Ste a
Fredericksburg, VA 22407-0113

Mailing address

4107 Plank Rd Ste a
Fredericksburg, VA 22407-0113
Phone (540) 907-4282

Other identifiers 2

IdentifierTypeStateIssuer
249326OtherVAANTHEM BCBS OF VA
1962452094MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000330 VA Practitioner - Clinical Psychologist 2769581487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1133 Heatherstone Dr
Suite 102
Fredericksburg, VA 22407-4828
Phone (540) 548-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810002969VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Mental Health Services, PLLC Clinical CurrentSince Jan 1, 2007 Accepting new patients
360 Pyschological Services CurrentSince Jul 10, 2022 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients

Locations

1133 Heatherstone Dr
#102
Fredericksburg, VA 22407
Phone (540) 548-2430

4107 Plank Rd
Ste A
Fredericksburg, VA 22407
Phone (540) 710-5843

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1962452094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 PLANK RD STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070113",
            "telephone_number": "540-907-4282",
            "fax_number": "540-301-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 PLANK RD STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070113",
            "telephone_number": "540-907-4282",
            "fax_number": "540-301-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDI",
        "first_name": "FRANK",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "249326",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962452094",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.