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LEIBOW PSYCHOLOGY GROUP PC NPI 1760028575


NPI Information

NPI: 1760028575
Provider Name: LEIBOW PSYCHOLOGY GROUP, PC

Doing Business As: VANTAGE BEHAVIORAL HEALTH

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
11175 CAMPUS ST
LOMA LINDA, CA
ZIP 92350
Phone: (305) 336-1168
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LEIBOW PSYCHOLOGY GROUP, PC is a clinical psychologist in Loma Linda, 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. LEIBOW PSYCHOLOGY GROUP, PC NPI is 1760028575. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vantage Behavioral Health.

The provider's business location address is:

11175 CAMPUS ST
LOMA LINDA, CA
ZIP 92350-700
Phone: (305) 336-1168

The provider's authorized official is Michael Leibow .
The authorized official title is President and has the following contact phone number (305) 336-1168.

The enumeration date for this NPI number is 11/27/2019 and was last updated on 10/4/2021.


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
1101YM0800XCounselorMental HealthNo
2103TH0004XPsychologistHealthNo
31041C0700XSocial WorkerClinicalNo
4103TC0700XPsychologistClinicalYes

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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