DR. LESLIE JOE BOLIN PHD
NPI 1275585002
Clinical Neuropsychologist in Atascadero, CA

Q: What is Leslie Bolin's NPI number?

The NPI number for Leslie Bolin is 1275585002. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Leslie Bolin's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Bolin was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 17, 2006PECOS Enrolled

10333 EL CAMINO REAL, ATASCADERO, CA 93422(805) 468-2555(805) 468-3006 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Leslie Joe Bolin Phd NPPES

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

DR. LESLIE JOE BOLIN PHD (NPI 1275585002) is an individual clinical neuropsychologist in Atascadero, California, licensed in California (PSY17271) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275585002

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. LESLIE JOE BOLINCredential: PHD

Location Address10333 EL CAMINO REALAtascadero, CA 93422

Mailing Address10333 El Camino Real, Po Box 7001Atascadero, CA 93422

Phone(805) 468-2555

Fax(805) 468-3006

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateJanuary 28, 2014

✔ NPI 1275585002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY17271

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY17271 (CA)

10333 EL CAMINO REAL, Atascadero, CA 93422

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Other Identifiers 2

Medicare PINOPL172710

Medicare UPINPSYCH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leslie Joe Bolin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

GIZELLA MARIA RAYMOND N.P., R.N.

Nurse Practitioner (Psychiatric/Mental Health)