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Active NPI 1053957258 Individual Practitioner Male Practitioner

Dr. Leland Reback , PsyD

Psychologist • Old Lyme, CT

Professional Overview & Biography Verified Profile Summary

Dr. Leland Reback, PsyD is a registered healthcare professional specializing in Psychologist in Old Lyme, CT. Practice services are available at 55 HATCHETTS HILL RD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Hatchetts Hill Rd

Old Lyme, CT 063711534

Telephone 8003703651
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Old Lyme, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Old Lyme, CT (697 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
20 20 $125.00 $78.54

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 38326

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patricia Colella , LCSW

Social Worker - Clinical

NPI 1003089467

Licensed Clinical Social Worker

Judith Pregot , LICSW

Social Worker - Clinical

NPI 1003361148

Licensed Independent Clinical Social Worker

Kimberly Staton , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003396391

Advanced Practice Registered Nurse

Kim Chan-Baerman , LCSW

Social Worker - Clinical

NPI 1013446756

Licensed Clinical Social Worker

Catherine Catti , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023410743

Advanced Practice Registered Nurse

Marie Lord , NP

Nurse Practitioner

NPI 1023485307

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2019

Registered at 55 HATCHETTS HILL RD, OLD LYME, CT 063711534 (Tel: 8003703651)

📍
Updated Business Mailing Address November 22, 2019

Registered at 55 HATCHETTS HILL RD, OLD LYME, CT 063711534 (Tel: 8003703651)

👤
Provider Name / Credentials Updated November 22, 2019

Recorded as LELAND REBACK, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2019

Psychologist (License #38326 in TX)

🟢
Initial NPI Registration & Enumeration November 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053957258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2019
Last Update: November 22, 2019
Sole Proprietor: Yes

Mailing Address

55 Hatchetts Hill Rd

Old Lyme, CT 063711534

Phone: 8003703651

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.