Leonard Chavez, PSYD in Taylorsville, UT - Medicare Psychologist Provider

Leonard Chavez, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Taylorsville, Utah. His current practice location is 6013 S Redwood Rd, Taylorsville, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 255-5131.

Leonard Chavez is licensed to practice in Texas (license number 39680) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457162802.

Contact Information

	Leonard Chavez, PSYD
	6013 S Redwood Rd, Taylorsville, UT 84123-5220
	(801) 255-5131
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leonard Chavez
Gender	Male
Speciality	Psychologist - Clinical
Location	6013 S Redwood Rd, Taylorsville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457162802
Provider Enumeration Date: 01/15/2025
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 9335679216
Enrollment ID: I20250206002931

Medical Identifiers

Medical identifiers for Leonard Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457162802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	39680 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Leonard Chavez allows following entities to bill medicare on his behalf.

Entity Name	Deep Eddy Psychotherapy Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leonard Chavez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Leonard Chavez, PSYD 6013 S Redwood Rd, Taylorsville, UT 84123-5220 Ph: () -	Leonard Chavez, PSYD 6013 S Redwood Rd, Taylorsville, UT 84123-5220 Ph: (801) 255-5131

Reviews and Comments

Psychologist in Taylorsville, UT

Ted A Harris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5691 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-265-3895 Fax: 801-263-1265
Dr. Stephanie Creekpaum, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7770
Nancy L Cantor, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-588-3611
Sarah Goldman, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5991 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-266-2485
Dr. Marcel C Chappuis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6129 Elsie Ct, Taylorsville, UT 84123 Phone: 801-261-4771 Fax: 801-261-4778
Dr. Heidi Marie Block, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7834
Dr. Karen Wheelock Malm, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5689 S Redwood Rd Unit 27, Taylorsville, UT 84123 Phone: 801-266-2485 Fax: 866-644-9206

Leonard Chavez, PSYD - Medicare Psychologist in Taylorsville, UT