Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417941071 Individual Practitioner Male Practitioner

Dr. David J Leicht , PhD

Psychologist • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. David Leicht, PhD is a registered healthcare professional specializing in Psychologist in Appleton, WI. Practice services are available at 444 N WESTHILL BLVD under active NPI credentials.

Frequently performed procedures and clinical services include evaluation of neuropsychological test, neurobehavioral status examination by qualified health care professional with interpretation and report, additional, exam of neurobehavioral status, first hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

444 N Westhill Blvd

Appleton, WI 549145715

Telephone 9207507000
Fax 9203642451
Associated Practice Facility / Clinic
🏢 Thedacare, Incorporated Facility NPI 1477600567

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Appleton, WI (1000 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.8% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96133 Evaluation of neuropsychological test, each additional hour
26 13 $307.00 $97.68
96121 Neurobehavioral status examination by qualified health care professional with interpretation and report, additional 60 minutes
16 16 $252.56 $76.16
96116 Exam of neurobehavioral status, first hour
16 16 $292.25 $91.15
96132 Evaluation of neuropsychological test, first hour
14 14 $403.43 $126.07

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WI 1357

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
39078500 (WI)

Secondary Practice Locations

1531 S Madison St

Appleton, WI 549151800

Phone: 9207304411

Practice Associates & Co-Workers

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

40 Associated Practitioners
Maria Vercimak , LPC

Counselor - Professional

NPI 1003279753

Licensed Professional Counselor

Dr. Mark Rovick , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003866864

Doctor of Osteopathic Medicine (D.O.)

Yer Thao

Counselor - Professional

NPI 1023702156
Scott Radtke , LPC

Counselor - Professional

NPI 1033106794

Licensed Professional Counselor

Stephanie Shirey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043672504
Lisa Engelhardt , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043686538

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

📍
Updated Business Mailing Address November 29, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

👤
Provider Name / Credentials Updated November 29, 2017

Recorded as DAVID LEICHT, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Psychologist (License #1357 in WI)

NPI Profile Active September 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2008

Registered at 1531 S MADISON ST, APPLETON, WI 549151800 (Tel: 9207304411)

📍
Updated Business Mailing Address September 04, 2008

Registered at 1531 S MADISON ST, APPLETON, WI 549151800 (Tel: 9207304411)

👤
Provider Name / Credentials Updated September 04, 2008

Recorded as DAVID LEICHT, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2008

Psychologist (License #1357 in WI)

🟢
Initial NPI Registration & Enumeration September 09, 2005

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: 1417941071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2005
Last Update: November 29, 2017
Sole Proprietor: No

Mailing Address

444 N Westhill Blvd

Appleton, WI 549145715

Phone: 9207507000

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.