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DR. MELISSA JEAN LEEDY PHD
NPI 1194962720
Psychologist - Health Service in Broken Arrow, OK

Active since January 20, 2009Opted out of Medicare · through Oct 1, 2026
2035A WEST HOUSTON STREET, BROKEN ARROW, OK 74012(918) 505-4367(888) 371-9410 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Jan 4, 2017, Oct 17, 2016 (3 updates tracked since 2016).

About Dr. Melissa Jean Leedy Phd NPPES

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

DR. MELISSA JEAN LEEDY PHD (NPI 1194962720) is an individual health service provider in Broken Arrow, Oklahoma, licensed in Oklahoma (1268) and active in the NPI registry since January 2009. She has opted out of Medicare through October 1, 2026 and maintains a secondary practice location in Broken Arrow.

NPPES Registry Identity

NPI1194962720
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. MELISSA JEAN LEEDYCredential: PHD
Location Address2035A WEST HOUSTON STREETBroken Arrow, OK 74012-8792
Mailing Address2035a West Houston StreetBroken Arrow, OK 74012-8792 · (918) 505-4367 · Fax (888) 371-9410
Phone(918) 505-4367
Fax(888) 371-9410
Sole ProprietorYes
Enumeration DateJanuary 20, 2009
Last NPPES UpdateSeptember 2, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1194962720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in OK · 1268
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).
Also ListedPsychologistTaxonomy 103T00000X · License PY 7846 (FL)
2035A WEST HOUSTON STREET, Broken Arrow, OK 74012
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Secondary Practice Location 1

Location 12498 W New Orleans StBroken Arrow, OK 74011-1590 · Phone (539) 777-1129 · Fax (888) 371-9410

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Melissa Jean Leedy Phd 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 October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

LEGACY COUNSELING SERVICE
Psychologist
2035A WEST HOUSTON STREET
BROKEN ARROW, OK 74012
Tulsa County (918) 505-4367

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 Melissa Leedy's NPI number?

The NPI number for Melissa Leedy is 1194962720. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Where is Melissa Leedy located?

Melissa Leedy practices at 2035A West Houston Street, Broken Arrow, OK 74012. The listed phone number is (918) 505-4367.

What is Melissa Leedy's specialty?

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

Is Melissa Leedy enrolled in Medicare?

No. Melissa Leedy has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Melissa Leedy accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and CommunityCare list Melissa Leedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Leedy was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.