LEAH B. SCHOCK PHD, LLC (NPI# 1497010706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497010706 |
| Entity Type | Organization |
| Organization Name | LEAH B. SCHOCK PHD, LLC |
| Practice Address |
975 Sw Colorado Ave Ste 100 Bend OR 97702-3155 |
| Practice Telephone | 5416785164 |
| Practice Fax Number | 5416785017 |
| Mailing Telephone | 5416785164 |
| Mailing Fax Number | 5416785017 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Authorized Official Name | DR. LEAH B SCHOCK (MEMBER) |
| Authorized Official Telephone | 5416785164 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1492 | OR | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LEAH B. SCHOCK PHD, LLC | 497 Sw Century Dr Ste 104, Bend, OR 97702 |
| Street Address |
975 SW COLORADO AVE STE 100 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710334099 | Robyn Ashley Migliorini | Clinical Neuropsychologist | 497 Sw Century Dr Ste 104, Bend, OR 97702-1167 | 2016-05-17 |
| 1932110038 | Leah B Schock | Clinical Neuropsychologist | 497 Sw Century Dr, Ste 104, Bend, OR 97702-1167 | 2006-08-11 |
| 1891100871 | Jesse Bledsoe | Clinical Neuropsychologist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2014-06-27 |
| 1467752303 | William Trueblood PC | Clinical Neuropsychologist | 26 Nw Irving Ave, Bend, OR 97701-2012 | 2010-10-26 |
| 1811014012 | Glenn Trueblood | Clinical Neuropsychologist | 26 Nw Irving, Bend, OR 97701 | 2007-03-23 |
| 1760493845 | Sondra B Marshall | Clinical Neuropsychologist | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1528532884 | Viva Wheaton | Clinical Neuropsychologist | 603 E. Hancock St., Newberg, OR 97132-3806 | 2019-01-18 |
| 1649640335 | Northwest Neurohealth LLC | Clinical Neuropsychologist | 501 N. Villa Road, Newberg, OR 97140 | 2015-10-07 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1639472319 | Opal Institute LLC | Clinical Neuropsychologist | 14780 Sw Osprey Dr. #285, Beaverton, OR 97007 | 2010-12-17 |
| 1275790461 | Audrina Alexis Mullane | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2008-05-16 |
| 1801098090 | Nancy Loss | Clinical Neuropsychologist | 2223 Ne 47th Avenue, Portland, OR 97213 | 2007-06-01 |
| 1205046422 | Laura Renteria | Clinical Neuropsychologist | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 | 2007-05-23 |
| 1386857506 | David Matthew Freed | Clinical Neuropsychologist | 1180 Cross St Se, Salem, OR 97302-2924 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
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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.