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DR. LESLIE WEIDENMAN PH.D
NPI 1104955061
Psychologist - Cognitive & Behavioral in Providence, RI

Active since March 05, 2007
86 MOUNT HOPE AVE, PROVIDENCE, RI 02906(401) 274-6310(401) 421-3280 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leslie Weidenman Ph.d NPPES

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

DR. LESLIE WEIDENMAN PH.D (NPI 1104955061) is an individual cognitive & behavioral provider in Providence, Rhode Island, licensed in Rhode Island (PS00269) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104955061
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. LESLIE WEIDENMANCredential: PH.D
Location Address86 MOUNT HOPE AVEProvidence, RI 02906-1648
Mailing Address40 Stenton Ave, Apt 312Providence, RI 02906-2741 · (401) 274-6310 · Fax (401) 421-3280
Phone(401) 274-6310
Fax(401) 421-3280
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1104955061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in RI · PS00269
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologistTaxonomy 103T00000X · License PS00269 (RI)
86 MOUNT HOPE AVE, Providence, RI 02906
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Other Identifiers 3

MedicaidLW23739RI
Other30890-2RI · Blue Cross
Other412380RI · Blue Chip

Other Providers at the Same Location NPPES 8

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

MICHAEL GRUPP SLP
Speech-Language Pathologist
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906
Providence County (401) 274-6310
GRODEN CENTER, INC
Community/Behavioral Health
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906
Providence County (401) 274-6310
DR. COOPER WOODARD PHD
Psychologist
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906
Providence County (401) 274-6310
GRODEN CENTER, INC.
Community/Behavioral Health
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906
Providence County (401) 274-6310
ANN HELEN MILLER LICSW
Social Worker (Clinical)
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906
Providence County (401) 274-6310
DR. JUNE GRODEN PHD
Psychologist
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906
Providence County (401) 274-6310
MS. LAUREN ELIZABETH SHARKEY OTR/L
Occupational Therapist
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906
Providence County (401) 274-6310
GRODEN CENTER, INC.
Day Training, Developmentally Disabled Services
86 MOUNT HOPE AVE
PROVIDENCE, RI 02906
Providence County (401) 274-6310

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 Leslie Weidenman's NPI number?

The NPI number for Leslie Weidenman is 1104955061. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Leslie Weidenman located?

Leslie Weidenman practices at 86 Mount Hope Ave, Providence, RI 02906. The listed phone number is (401) 274-6310.

What is Leslie Weidenman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Leslie Weidenman was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.