Leslie Hannon, PSY.D.
NPI 1891822110ActiveIndividual· Psychologist, Clinical· Broomfield, CO
Psychologist, Clinical (PSY.D.) in Broomfield, Colorado, licensed in CO, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1891822110 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 27, 2007 |
| Last updated in NPPES | Aug 7, 2024 |
| Certified by provider | Aug 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3493 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CO) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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