Active NPI
Leslie Anne Maycroft, MA LP
- Psychologist
- Minnetonka, MN
National Provider Identifier
1962669440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3965
- Practice address
- 10520 Wayzata Boulevard
Minnetonka, MN 55305 - Phone
- (952) 546-5630
- NPI assigned
- May 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3965 | MN | Primary |
Addresses
Primary practice location
10520 Wayzata Boulevard
Minnetonka, MN 55305
Mailing address
10520 Wayzata Boulevard
Minnetonka, MN 55305
Phone (952) 546-5630
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3965 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1962669440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10520 WAYZATA BOULEVARD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "952-546-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 WAYZATA BOULEVARD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "952-546-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYCROFT",
"first_name": "LESLIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MA LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.