| Organization Name: | NEW LEAF PSYCHOLOGICAL SERVICES, INC. |
| NPI Number: | 1063829174 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA IRMGARD ALEXAKOS (OWNER/PRACTIONER) |
| Mailing Address: | 2172 Techny Rd Northbrook |
| State: | IL US |
| Postal Code: | 600626635 |
| Phone Number: | 7739601163 |
| Fax Number: | 2244153911 |
| NPI Enumeration Date: | 07/21/2014 |
| NPI Last Update Date: | 07/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071.008103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |