DR. LEONARD M BOHANON (NPI# 1124036702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124036702 |
| Entity Type | Individual |
| Full Name | DR. LEONARD M BOHANON |
| Credential | PHD |
| Practice Address |
2203 Timberloch Pl Suite 100 The Woodlands TX 77380-1103 |
| Mailing Address |
2203 Timberloch Pl Suite 100 The Woodlands TX 77380-1150 |
| Practice Telephone | 8326285253 |
| Practice Fax Number | 2817270428 |
| Mailing Telephone | 8326285253 |
| Mailing Fax Number | 2817270428 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2-2536 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 030445301 | 05 | |
| TX | BLUE CROSS/BLUE SHIELD | 0015DL | 01 |
| VALUE OPTIONS | 138628 | 01 | |
| COMPSYCH | 225505 | 01 | |
| WAUSAU | 48145516 | 01 |
| Street Address |
2203 TIMBERLOCH PL SUITE 100 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77380-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386982627 | Jamilyn Marie Mack | Marriage & Family Therapist | 2203 Timberloch Pl, Suite 100, The Woodlands, TX 77380-1150 | 2013-01-22 |
| 1881949428 | Kristina Whitehead | Marriage & Family Therapist | 2203 Timberloch Pl, Suite 100, The Woodlands, TX 77380-1150 | 2012-07-19 |
| 1851607311 | Terrie S. Emel, Lcsw, Pllc | Social Worker | 2203 Timberloch Pl, Suite 218b, The Woodlands, TX 77380-1150 | 2010-08-23 |
| 1760797526 | Terrie S. Emel | Social Worker | 2203 Timberloch Pl, Suite 218b, The Woodlands, TX 77380-1150 | 2010-08-17 |
| 1841407475 | Dana M Hahn | Counselor | 2203 Timberloch Pl, Suite 100, The Woodlands, TX 77380-1150 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874034 | Elevated Neuro LLC | Specialist/Technologist, Other | 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 | 2019-01-10 |
| 1588139851 | Sara Barchie | Dietitian, Registered | 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 | 2018-10-12 |
| 1730664988 | Global Bionics, LLC | Durable Medical Equipment & Medical Supplies | 1001 Medical Loop, Ste 220, Spring, TX 77380 | 2018-10-03 |
| 1104309350 | Kristina Nicole Zills | Psychologist | 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 | 2018-09-13 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1821517103 | Catalyst Medical Suites, LLC | Clinic/Center | 1544 Sawdust Rd Ste 280, Spring, TX 77380 | 2017-09-18 |
| 1114440898 | Elanor Sung | Massage Therapist | 26103 I 45, Ste 102, The Woodlands, TX 77380 | 2017-07-25 |
| 1043732555 | Chinyere Obiakwata | Nurse Practitioner | 201 Pruitt Rd Apt 430, Spring, TX 77380 | 2017-07-17 |
| 1295261055 | Nafeiza Persaud | Counselor | 25301 Borough Park Dr Ste 125, Spring, TX 77380 | 2017-05-11 |
| Find all providers in zip 77380 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235569260 | Melissa Riggs | Psychologist | 2495 Sawdust Rd, #1102, The Woodlands, TX 77380-3354 | 2013-11-12 |
| 1427499359 | Cross Mountain Clinician's Network, LLC | Psychologist | 26022 Oak Ridge Drive, The Woodlands, TX 77380 | 2013-07-08 |
| 1194075697 | The Woodlands Eating Disorders Center | Psychologist | 4840 W. Panther Creek Dr., Ste. 212, The Woodlands, TX 77381 | 2012-09-12 |
| 1679632046 | Gregory J Tharp | Psychologist | 1600 Lake Front Cir Ste 150, The Woodlands, TX 77380-3613 | 2006-12-08 |
| 1225144587 | James Gregory Ryan | Psychologist | 26205 Oak Ridge Dr, Suite 103, The Woodlands, TX 77380-1916 | 2006-08-21 |
| 1922014166 | Jannette Cross | Psychologist | 4747 Research Forest Dr Suite 180 #559, The Woodlands, TX 77381-1716 | 2006-07-31 |
| 1821067380 | Glenn Joseph Bricken | Psychologist | 25810 Oak Ridge Dr, The Woodlands, TX 77380-2016 | 2006-03-16 |
| 1912538745 | Therapy and Psychology Services of The Woodlands, Pllc | Psychologist | 2203 Timberloch Pl Ste 100, The Woodlands, TX 77380-1103 | 2020-01-30 |
| 1841644564 | Ronique Gordon Wilson | Psychologist | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2016-04-19 |
| 1760836753 | Lauren Henrikson | Psychologist | 25810 Oak Ridge Dr, The Woodlands, TX 77380-2016 | 2016-04-16 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| Zip Code | 77380 |
Please comment or provide details below to improve the information on DR. LEONARD M BOHANON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.