Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Martin Leichtman, PHD

Individual provider Clinical Psychologist · NPI 1700823390

Martin Leichtman, PHD is a Clinical Psychologist in Naperville, Illinois. Qualified in 1972, 54 years ago. Practices with Modify PC, a 7-clinician group. Licensed in Illinois and Kansas.

Years since qualifying
54
Licensed in
IL, KS
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2272 95th St Ste 305
Naperville, IL 60564-8944
Phone: (630) 753-9800
Fax: (913) 345-1464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.011161 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 296 (KS)

Record details

NPI number1700823390
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 1, 2006
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Modify Pc — 7 clinicians
Accepts Medicare assignment Not indicated

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