Provider Type Icon

NEW LEAF INSTITUTE PLLC NPI 1295130508


NPI Information

NPI: 1295130508
Provider Name: NEW LEAF INSTITUTE PLLC
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
12906 E 106TH ST N
OWASSO, OK
ZIP 74055
Phone: (918) 240-9380
Get Directions

NEW LEAF INSTITUTE PLLC is a health service psychologist in Owasso, OK. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). NEW LEAF INSTITUTE PLLC NPI is 1295130508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12906 E 106TH ST N
OWASSO, OK
ZIP 74055-909
Phone: (918) 240-9380
Fax: (918) 376-4586

The provider's authorized official is Leslie Rose Riley .
The authorized official title is Owner and has the following contact phone number (918) 240-9380.

The enumeration date for this NPI number is 10/29/2014 and was last updated on 9/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth Service1215OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200579150AMEDICAIDOKLAHOMA
2403453ZNJKMEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.