JESSICA LECLERC - OASIS PSYCHOLOGICAL SERVICES, PLLC (NPI# 1417327735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417327735 |
| Entity Type | Organization |
| Organization Name | JESSICA LECLERC - OASIS PSYCHOLOGICAL SERVICES, PLLC |
| Practice Address |
1930 S Alma School Rd. Ste. A216 Mesa AZ 85210 |
| Practice Telephone | 4802824237 |
| Practice Fax Number | 6239007217 |
| Mailing Telephone | 4802824237 |
| Mailing Fax Number | 6239007217 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | DR. JESSICA LEE LECLERC (OWNER/EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4802824237 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4299 | AZ | Behavioral Health & Social Service Providers |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CSLG8022 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 406988 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770065989 | Jessica Leclerc - Oasis Psychological Services, Pllc | Psychologist | 1930 S Alma School Rd. Ste. A216, Mesa, AZ 85210 | 2018-09-04 |
| 1679938211 | Jessica Leclerc - Oasis Psychological Services, Pllc | Psychologist | 1930 S Alma School Rd. Ste. A216, Mesa, AZ 85210 | 2015-12-28 |
| Street Address |
1930 S ALMA SCHOOL RD. STE. A216 |
| City | MESA |
| State | AZ |
| Zip Code | 85210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770065989 | Jessica Leclerc - Oasis Psychological Services, Pllc | Psychologist | 1930 S Alma School Rd. Ste. A216, Mesa, AZ 85210 | 2018-09-04 |
| 1679938211 | Jessica Leclerc - Oasis Psychological Services, Pllc | Psychologist | 1930 S Alma School Rd. Ste. A216, Mesa, AZ 85210 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1205467974 | Betherapy Counseling, LLC | Clinic/Center | 1845 S Dobson Rd Ste 213, Mesa, AZ 85202-5663 | 2020-01-30 |
| 1235769282 | Az Life Options Child and Adult Services LLC | Clinic/Center | 6515 E Main St, Mesa, AZ 85205-9012 | 2020-01-17 |
| 1336785518 | Sun Valley Recovery | Clinic/Center | 2600 E Southern Ave Ste I-3, Mesa, AZ 85204-5413 | 2019-11-21 |
| 1194285643 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2019-03-21 |
| 1609334812 | Just 1 Life Services LLC | Clinic/Center | 1616 E Main St Ste 207a.1, Mesa, AZ 85203-9071 | 2019-03-06 |
| 1558682914 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 | 2010-06-18 |
| 1154954113 | Babbitt Bowers Behavioral Health Services. LLC | Clinic/Center | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2020-02-18 |
| Find all providers in MESA | ||||
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| 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.