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DR. JACK ROBERT LEGGETT PH.D. NPI 1386893618


NPI Information

NPI: 1386893618
Provider Name: DR. JACK ROBERT LEGGETT, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
27481 APPARI DR
MISSION VIEJO, CA
ZIP 92692
Phone: (949) 951-1692
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DR. Jack Robert Leggett, PH.D. is a clinical psychologist in Mission Viejo, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Jack Robert Leggett, PH.D. NPI is 1386893618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27481 APPARI DR
MISSION VIEJO, CA
ZIP 92692-188
Phone: (949) 951-1692

The enumeration date for this NPI number is 9/10/2008 and was last updated on 9/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
3103TA0700XPsychologistAdult Development & AgingNo
4103TH0100XPsychologistHealth ServiceNo
5103TC0700XPsychologistClinicalPSY16148CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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