LEAVY PSYCHOLOGICAL SERVICES LLC
NPI 1053298000
Psychologist in Fern Bch, FL

Active since August 20, 2025
2829 PARK SQUARE PL, FERN BCH, FL 32034(904) 335-7037 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leavy Psychological Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAVY PSYCHOLOGICAL SERVICES LLC (NPI 1053298000), doing business as Patricia G Leavy, is a healthcare organization registered as a psychologist in Fern Bch, Florida and active in the NPI registry since August 2025. The organization lists Patricia G Leavy, Owner, as its authorized official.

NPPES Registry Identity

NPI1053298000
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLEAVY PSYCHOLOGICAL SERVICES LLC
Location Address2829 PARK SQUARE PLFern Bch, FL 32034-8923
Mailing Address2829 Park Square PlFern Bch, FL 32034-8923
Organization SubpartYes
Authorized OfficialPatricia G LeavyOwner · (904) 335-7037
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1053298000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2829 PARK SQUARE PL, Fern Bch, FL 32034

Other Names 1

Doing Business AsPatricia G Leavy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leavy Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leavy Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1750482337
2829 PARK SQUARE PL
Fern Bch, FL 32034
(904) 335-7037
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leavy Psychological Services LLC's NPI number?

The NPI number for Leavy Psychological Services LLC is 1053298000. It was assigned to this organization in the NPPES registry on August 20, 2025. The provider is doing business as Patricia G Leavy.

Where is Leavy Psychological Services LLC located?

Leavy Psychological Services LLC is located at 2829 Park Square Pl, Fern Bch, FL 32034. The listed phone number is (904) 335-7037.

What is Leavy Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Leavy Psychological Services LLC enrolled in Medicare?

Yes. Leavy Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leavy Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Leavy Psychological Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leavy Psychological Services LLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.