MR. LEONARD B MEDOFF (NPI# 1164576559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164576559 |
| Entity Type | Individual |
| Full Name | MR. LEONARD B MEDOFF |
| Credential | PHD |
| Practice Address |
1217 E Elizabeth Bldg 6 Fort Collins CO 80524 |
| Practice Telephone | 9704840663 |
| Practice Fax Number | 9702212446 |
| Mailing Telephone | 9704840663 |
| Mailing Fax Number | 9702212446 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
708 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1217 E ELIZABETH BLDG 6 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1316565161 | Heart Centered Counseling Inc | Psychologist | 215 W Oak St, Fort Collins, CO 80521-2730 | 2020-07-08 |
| 1790309144 | Katharine D Schneider | Psychologist | 2427 Maple Hill Dr, Fort Collins, CO 80524-2308 | 2020-06-02 |
| 1316582091 | Ewa Ostoja LLC | Psychologist | 149 W Harvard St Ste 202, Fort Collins, CO 80525-2186 | 2019-11-17 |
| 1487124517 | Mark Anthony Prince | Psychologist | 1876 Campus Delivery # Clarkc07, Fort Collins, CO 80523-1876 | 2018-12-02 |
| 1972915957 | Maya Pignatore | Psychologist | 1245 E Lincoln Ave, Apt 420, Fort Collins, CO 80524-4744 | 2014-05-27 |
| 1588916951 | .kathryn M Rickard | Psychologist | 6018 Wingspread Ct, Fort Collins, CO 80524-9372 | 2012-10-10 |
| 1912282393 | Ainara Echanove | Psychologist | 1281 E Magnolia St # 123, Fort Collins, CO 80524-4796 | 2011-10-17 |
| 1376848523 | Jacqueline Rae Voss | Psychologist | Csuhn Counseling Services, Colorado State University, Fort Collins, CO 80523-0001 | 2011-01-20 |
| 1891928479 | Tiah L. Terranova | Psychologist | 300 Boardwalk Drive, Unit 5a, Fort Collins, CO 80525-3093 | 2009-08-28 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on MR. LEONARD B MEDOFF.
| 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.