DR. JONATHAN L. LEGGETT PHD
NPI 1831497783
Psychologist - Prescribing (Medical) in Gallup, NM

Q: What is Jonathan Leggett's NPI number?

The NPI number for Jonathan Leggett is 1831497783. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Q: What is Jonathan Leggett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Leggett was last updated on June 27, 2023. 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.

Active since March 02, 2011PECOS Enrolled

303 S FIRST ST, GALLUP, NM 87301(505) 397-7197 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2021, Nov 10, 2016 (2 updates tracked since 2016).

On this page

About Dr. Jonathan L. Leggett Phd NPPES

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

DR. JONATHAN L. LEGGETT PHD (NPI 1831497783) is an individual prescribing (medical) provider in Gallup, New Mexico, licensed in New Mexico (1279) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831497783

Entity TypeIndividualMale

Primary Taxonomy103TP0016X

Provider Legal NameDR. JONATHAN L. LEGGETTCredential: PHD

Location Address303 S FIRST STGallup, NM 87301-6211

Mailing Address303 S First StGallup, NM 87301-6211 · (505) 397-7197 · Fax (855) 340-4551

Phone(505) 397-7197

Sole ProprietorNo

Enumeration DateMarch 2, 2011

Last NPPES UpdateJune 27, 20232 updates tracked since enumeration

NPPES CertifiedJune 27, 2023

✔ NPI 1831497783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in NM · 1279

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedPsychologistTaxonomy 103T00000X · License 99045855A (IN)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 1279 (NM)

303 S FIRST ST, Gallup, NM 87301

Open in Google Maps ↗

Other Identifiers 1

Medicaid201050210IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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. Jonathan L. Leggett 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.

Other Providers at the Same Location NPPES 9

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

SYNAPSE INTEGRATED PSYCHOLOGY, LLC

Psychologist (Prescribing (Medical))