DR. JONATHAN L. LEGGETT (PHD) – Prescribing (Medical) Psychologist, NPI 1831497783
Prescribing (Medical) Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
457 CLINICAL PSYCHOLOGIST in AZ
Provider Addresses for DR. JONATHAN L. LEGGETT (PHD)
PO BOX 589
FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.
FORT DEFIANCE, AZ 865040589
Phone: (928) 729-8500
Fax: (928) 729-8502
Type: Mailing
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone: (928) 729-8500
Type: Location
303 S FIRST ST
GALLUP, NM 873016211
Phone: (505) 397-7197
Fax: (855) 340-4551
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-01-27
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140127000879 | I | Clinical Psychologist | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 86504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Family Practice | NM | |
| Family Practice | NM | |
| Family Practice | NM | |
| Internal Medicine | NM | |
| Nurse Practitioner | NM | |
| Physician Assistant | NM | |
| Nurse Practitioner | NM | |
| Family Practice | NM | |
| U R O L O G Y | NM |
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