Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. BENNETT LESLIE PSYD
NPI 1053367581
Psychologist in Aurora, CO

Active since May 26, 2006Opted out of Medicare · through Apr 1, 2028
1635 URSULA ST, SUITE # 5501, AURORA, CO 80010(720) 848-1090(720) 848-1277 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bennett Leslie Psyd NPPES

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

MR. BENNETT LESLIE PSYD (NPI 1053367581) is an individual psychologist in Aurora, Colorado, licensed in Colorado (2502) and active in the NPI registry since May 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053367581
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. BENNETT LESLIECredential: PSYD
Location Address1635 URSULA ST, SUITE # 5501Aurora, CO 80010-7402
Mailing AddressPo Box 6503, Integrative Medicine ProgramAurora, CO 80045-0503 · (303) 724-5000 · Fax (303) 724-5816
Fax(720) 848-1277
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1053367581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CO · 2502
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.
1635 URSULA ST, Aurora, CO 80010

Other Identifiers 1

Medicaid33739889CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Bennett Leslie Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1635 URSULA ST, SUITE #5501
AURORA, CO 80010
Dentist (Oral and Maxillofacial Radiology)
1635 URSULA ST, ROOM 5200
AURORA, CO 80010
Dentist (Periodontics)
1635 URSULA ST
AURORA, CO 80010
Dentist (Oral and Maxillofacial Pathology)
1635 URSULA ST, ROOM 5200
AURORA, CO 80010

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 Bennett Leslie's NPI number?

The NPI number for Bennett Leslie is 1053367581. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Bennett Leslie located?

Bennett Leslie practices at 1635 Ursula St Suite # 5501, Aurora, CO 80010. The listed phone number is (720) 848-1090.

What is Bennett Leslie's specialty?

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

Is Bennett Leslie enrolled in Medicare?

No. Bennett Leslie has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bennett Leslie was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.