LESLIE A BURTON, PHD — NPI 1902348550 (Licensed & Credentialed Clinical Neuropsychologist in WALLINGFORD, CT)

CMS-1500 Box 24J / 33a • NPI

1902348550

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103G00000X

Licensed & Credentialed Clinical Neuropsychologist

Box 32 Service Location & ZIP+4

GAYLORD FARM RD, GAYLORD HOSPITAL, WALLINGFORD, CT, 06492

Official NPPES Practice Location

Practice Phone & Referral Fax

(203) 284-2800

Fax: (203) 294-3294

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902348550 (LESLIE A BURTON, PHD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902348550` (NPI-1 Individual Practitioner)
Provider / Legal Name	LESLIE A BURTON, PHD
Plain-English Specialty	Licensed & Credentialed Clinical Neuropsychologist NUCC Code: `103G00000X` (Clinical Neuropsychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	GAYLORD FARM RD, GAYLORD HOSPITAL, WALLINGFORD, CT, 06492
Practice Telephone / Fax	Tel: (203) 284-2800 \| Fax: (203) 294-3294
Administrative Mailing Address	7 RIVER RD, COS COB, CT, 06807-2723
Enumeration & Last Sync	Enumerated: 2016-11-14 \| CMS Record Updated: 2016-11-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

GAYLORD FARM RD, GAYLORD HOSPITAL, WALLINGFORD, CT, 06492

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Plain-English Taxonomy & CMS Crosswalk (103G00000X)

What Does Taxonomy Code 103G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Neuropsychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LESLIE A BURTON, PHD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: CT \| License: `1456` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LESLIE A BURTON, PHD (NPI #1902348550)