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DR. ANDIE MAIKA LESLIE PH.D.
NPI 1568984664
Psychologist - Clinical in Fort Bragg, CA

Active since July 10, 2017
516 CYPRESS ST, FORT BRAGG, CA 95437(707) 961-0308 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, Jul 21, 2022, Jul 10, 2017 (3 updates tracked since 2017).

About Dr. Andie Maika Leslie Ph.d. NPPES

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

DR. ANDIE MAIKA LESLIE PH.D. (NPI 1568984664) is an individual clinical provider in Fort Bragg, California, licensed in California (PSB94027727) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1568984664
Entity TypeIndividual
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDIE MAIKA LESLIECredential: PH.D.
Location Address516 CYPRESS STFort Bragg, CA 95437-5410
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Phone(707) 961-0308
Sole ProprietorYes
Enumeration DateJuly 10, 2017
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1568984664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSB94027727
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
516 CYPRESS ST, Fort Bragg, CA 95437
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Other Providers at the Same Location NPPES 16

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

BENJAMIN MEADLIN
Day Training/Habilitation Specialist
516 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-0308
ADRIAN DIAZ
Day Training/Habilitation Specialist
516 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-0308
DORIS A MCCONNELL
Rehabilitation Practitioner
516 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 467-2010
KATHRYN ELAINE VOSKUYL
Rehabilitation Practitioner
516 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 467-2010
ANCHOR HEALTH MANAGEMENT, INC.
Psychiatry & Neurology (Psychiatry)
516 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 472-6400
JOHN CLARENDON WORTHINGTON RN
Registered Nurse
516 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 472-0350
MISTY MEADLIN
Rehabilitation Practitioner
516 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 467-2010
TIFFANY HOBBS
Community Health Worker
516 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-0308

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 Andie Leslie's NPI number?

The NPI number for Andie Leslie is 1568984664. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Andie Leslie located?

Andie Leslie practices at 516 Cypress St, Fort Bragg, CA 95437. The listed phone number is (707) 961-0308.

What is Andie Leslie's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Andie Leslie was last updated on July 16, 2024. 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.