DR. LEIGH-ANN THEOPHILOS PSY D
NPI 1780354464
Psychologist in New Brighton, MN

Active since September 15, 2021PECOS EnrolledAccepts Medicare Assignment
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112(612) 706-9630 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Sep 15, 2021 (2 updates tracked since 2021).

About Dr. Leigh-ann Theophilos Psy D NPPES

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

DR. LEIGH-ANN THEOPHILOS PSY D (NPI 1780354464) is an individual psychologist in New Brighton, Minnesota and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780354464
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LEIGH-ANN THEOPHILOSCredential: PSY D
Location Address900 LONG LAKE RD STE 160New Brighton, MN 55112-6414
Mailing Address900 Long Lake Rd Ste 160New Brighton, MN 55112-6414 · (612) 706-9630
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 15, 2021
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1780354464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
900 LONG LAKE RD STE 160, New Brighton, MN 55112

Accepted Insurance

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

Dr. Leigh-ann Theophilos Psy D 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 ID2264801893
PECOS Enrollment IDI20221202002895
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.

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.

Counselor (Professional)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Psychologist (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Acupuncturist
900 LONG LAKE RD STE 160
SAINT PAUL, MN 55112
Marriage & Family Therapist
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Social Worker (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Psychologist (Clinical)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Counselor (Mental Health)
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112
Psychologist
900 LONG LAKE RD STE 160
NEW BRIGHTON, MN 55112

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 Leigh-ann Theophilos's NPI number?

The NPI number for Leigh-ann Theophilos is 1780354464. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Leigh-ann Theophilos located?

Leigh-ann Theophilos practices at 900 Long Lake Rd Ste 160, New Brighton, MN 55112. The listed phone number is (612) 706-9630.

What is Leigh-ann Theophilos's specialty?

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

Is Leigh-ann Theophilos enrolled in Medicare?

Yes. Leigh-ann Theophilos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leigh-ann Theophilos accept?

Health plans from HealthPartners list Leigh-ann Theophilos 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 Leigh-ann Theophilos was last updated on August 22, 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.