INGRID LECKLITER (NPI# 1518940238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518940238 |
| Entity Type | Individual |
| Full Name | INGRID LECKLITER |
| Credential | PH.D. |
| Practice Address |
2825 50th St Ucdhs- M.i.n.d. Instutute Sacramento CA 95817-2308 |
| Practice Telephone | 9167030255 |
| Practice Fax Number | 9167030243 |
| Mailing Telephone | 9167030255 |
| Mailing Fax Number | 9167030243 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY 17240 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UCDHS PROVIDER # | 007980A | 01 |
| OR | PSYCHOLOGIST LICENSE # | 0665 | 01 |
| CA | MEDI-CAL GROUP NUMBER | GR002104M | 01 |
| CA | PSYCHOLOGIST LICENSE | PSY 17240 | 01 |
| Street Address |
2825 50TH ST UCDHS- M.I.N.D. INSTUTUTE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043293194 | Lauren B. Plumer | Pediatrics | 2825 50th St, Sacramento, CA 95817-2308 | 2005-11-22 |
| 1316505886 | Marie Louise Rocha | Behavioral Analyst | 2825 50th St, Sacramento, CA 95817-2310 | 2019-05-30 |
| 1982191870 | Rachel Balitsky | Behavioral Analyst | 2825 50th St, Sacramento, CA 95817-2310 | 2018-04-17 |
| 1275051534 | Ayaka Suzuki | Genetic Counselor, MS | 2825 50th St, Sacramento, CA 95817-2310 | 2017-09-06 |
| 1093239089 | Megan E Tudor | Psychologist | 2825 50th St, Uc Davis Mind Institute, Sacramento, CA 95817 | 2017-08-01 |
| 1174053177 | Meghan Rhys Miller | Psychologist | 2825 50th St, Sacramento, CA 95817-2310 | 2017-06-13 |
| 1134578099 | Andrea Schneider | Psychologist | 2825 50th St, Sacramento, CA 95817-2310 | 2016-06-10 |
| 1144691635 | Susan W Harris | Social Worker | 2825 50th St, Sacramento, CA 95817-2310 | 2015-10-09 |
| 1831575364 | Colette Defilippo | Genetic Counselor, MS | 2825 50th St, Sacramento, CA 95817-2310 | 2015-08-06 |
| 1255736476 | Rosa Denisse Rodriguez | Pediatrics | 2825 50th St, Sacramento, CA 95817-2310 | 2014-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| 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 |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1396058780 | Lenore A Tate | Clinical Neuropsychologist | 2030 W El Camino Ave Ste 200, Sacramento, CA 95833-1867 | 2010-07-14 |
| 1588816391 | Maria Moleski | Clinical Neuropsychologist | 2631 Phyllis Ave, Sacramento, CA 95820-4642 | 2008-10-13 |
| 1659530129 | Glenn Alan Hammel | Clinical Neuropsychologist | 1061 Sagamore Way, Sacramento, CA 95822-1714 | 2008-06-09 |
| 1710150685 | John J. Wicks | Clinical Neuropsychologist | 2128 V St, Sacramento, CA 95818-1732 | 2008-04-10 |
| 1003029471 | Lawrence Manley Wilcox | Clinical Neuropsychologist | 1421 P St., #16, Sacramento, CA 95814-5921 | 2007-05-08 |
| 1649326810 | Grant L. Hutchinson | Clinical Neuropsychologist | 730 Alhambra Blvd, Suite 205, Sacramento, CA 95816-3847 | 2007-01-28 |
| 1700934247 | Nancy Bell Mahaney | Clinical Neuropsychologist | 1555 River Park Dr, Suite 205, Sacramento, CA 95815-4612 | 2007-01-08 |
| 1093874133 | Catherine Elise Broomand | Clinical Neuropsychologist | 2345 Fair Oaks Blvd # 14, Sacramento, CA 95825-4708 | 2006-12-06 |
| 1962598284 | June Paltzer | Clinical Neuropsychologist | 1329 Howe Avenue, Suite 201, Sacramento, CA 95825-3363 | 2006-10-05 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on INGRID LECKLITER.
| 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.