DR. LESLIE JEAN BENNETT THAYER (NPI# 1316004914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316004914 |
| Entity Type | Individual |
| Full Name | DR. LESLIE JEAN BENNETT THAYER |
| Credential | PH.D |
| Practice Address |
8355 La Mesa Blvd La Mesa CA 91942-9249 |
| Mailing Address |
Po Box 880914 San Diego CA 92168-0914 |
| Practice Telephone | 6193544423 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
27726 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304870 | Leslie Thayer | Specialist | 535 Broadway, Dobbs Ferry, NY 10522-1118 | 2017-09-08 |
| Street Address |
8355 LA MESA BLVD |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-9249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346314044 | Maria I. Frailey | Psychologist | 8355 La Mesa Blvd, La Mesa, CA 91942-9249 | 2006-11-17 |
| 1760094700 | Emma Catherine Mitchell | Marriage & Family Therapist | 8355 La Mesa Blvd, La Mesa, CA 91942-9249 | 2020-08-20 |
| 1013340975 | Erin Elmore | Psychologist | 8355 La Mesa Blvd, La Mesa, CA 91942 | 2013-08-14 |
| 1316383508 | Erin Smith Shaffer | Specialist | 8355 La Mesa Blvd, La Mesa, CA 91942-9249 | 2013-05-15 |
| 1619175379 | Maria I. Frailey, Ph.d., A Professional Corporation | Psychologist | 8355 La Mesa Blvd, La Mesa, CA 91942-9249 | 2007-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919983 | Grace Counseling & Psychotherapy Inc. | Psychologist | 5575 Lake Park Way Ste 100-6, La Mesa, CA 91942-1664 | 2016-09-01 |
| 1093122608 | John Robert-clyde Helmer | Psychologist | 5360 Jackson Dr Ste 220-c, La Mesa, CA 91942 | 2014-07-15 |
| 1841541984 | Bruce L. Thiessen | Psychologist | 8360 University Ave, La Mesa, CA 91942-9374 | 2012-09-28 |
| 1700080132 | Margaret Ann Edel | Psychologist | 7589 El Cajon Blvd, La Mesa, CA 91942-7695 | 2007-06-11 |
| 1124169347 | John S. Bartholow, Ph.d A Psychological Corp. | Psychologist | 7777 Alvarado Rd # 278, La Mesa, CA 91941-3616 | 2007-02-09 |
| 1063569135 | Stacy Kim Johnston | Psychologist | 4730 Palm Ave, 202, La Mesa, CA 91941-5266 | 2007-01-04 |
| 1922194703 | James L. Bull | Psychologist | 8787 Center Drive, La Mesa, CA 91942-3034 | 2006-10-05 |
| 1366464810 | William Loughman Higgins | Psychologist | 3643 Nereis Dr, La Mesa, CA 91941-8012 | 2006-07-24 |
| 1134148448 | Jay Alperson | Psychologist | 8029 La Mesa Blvd, La Mesa, CA 91941-6434 | 2006-07-18 |
| 1154346070 | Georges Alexandre Tichy | Psychologist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2006-07-13 |
| Find all providers in LA 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.