DR. LESLIE ANN EICHENBAUM PH.D.
NPI 1740333988
Psychologist in Encino, CA

Active since January 19, 2007Opted out of Medicare · through Jan 6, 2027
3501 TERRACE VIEW DR, ENCINO, CA 91436(818) 789-7443(818) 789-7558 Get Directions Write a Review

NPPES record last updated: September 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leslie Ann Eichenbaum Ph.d. NPPES

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

DR. LESLIE ANN EICHENBAUM PH.D. (NPI 1740333988) is an individual psychologist in Encino, California, licensed in California (PSY7579) and active in the NPI registry since January 2007. She has opted out of Medicare through January 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740333988
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LESLIE ANN EICHENBAUMCredential: PH.D.
Location Address3501 TERRACE VIEW DREncino, CA 91436-4017
Mailing Address3501 Terrace View DrEncino, CA 91436-4017 · (818) 789-7443 · Fax (818) 789-7558
Fax(818) 789-7558
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateSeptember 2, 2010
NPI 1740333988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY7579
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3501 TERRACE VIEW DR, Encino, CA 91436

Other Identifiers 1

Medicare ID-Type UnspecifiedCP7579CA

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. Leslie Ann Eichenbaum Ph.d. 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 January 6, 2017 through January 6, 2027.

Opt-Out Effective DateJanuary 6, 2017
Opt-Out In Effect ThroughJanuary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Eichenbaum's NPI number?

The NPI number for Leslie Eichenbaum is 1740333988. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Leslie Eichenbaum located?

Leslie Eichenbaum practices at 3501 Terrace View Dr, Encino, CA 91436. The listed phone number is (818) 789-7443.

What is Leslie Eichenbaum's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Leslie Eichenbaum enrolled in Medicare?

No. Leslie Eichenbaum has opted out of Medicare through January 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Leslie Eichenbaum was last updated on September 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.