LESLIE DONNER
NPI 1124688890
Psychologist - Health Service in Paducah, KY

Q: What is Leslie Donner's NPI number?

The NPI number for Leslie Donner is 1124688890. It was assigned to this individual provider in the NPPES registry on June 16, 2019. The provider is also known as Leslie Page.

Q: What is Leslie Donner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Donner was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 16, 2019Accepts Medicare Assignment

2204 KENTUCKY AVE, PADUCAH, KY 42003(270) 777-4490(866) 441-1083 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Nov 13, 2019, Jun 16, 2019 (3 updates tracked since 2019).

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About Leslie Donner NPPES

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

LESLIE DONNER (NPI 1124688890) is an individual health service provider in Paducah, Kentucky, licensed in Kentucky (115924) and active in the NPI registry since June 2019. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1124688890

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameLESLIE DONNER

Location Address2204 KENTUCKY AVEPaducah, KY 42003-3242

Mailing Address2204 Kentucky AvePaducah, KY 42003-3242 · (270) 777-4490 · Fax (866) 824-4022

Phone(270) 777-4490

Fax(866) 441-1083

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJune 16, 2019

Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1124688890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in KY · 115924

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

2204 KENTUCKY AVE, Paducah, KY 42003

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Other Names 1

Former Name (1)Leslie Page

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leslie Donner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739419250

PECOS Enrollment IDI20240208003728

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Other Providers at the Same Location NPPES 17

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

WYNN LANCASTER-BROWN MS

Psychologist (Clinical)