Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jere W Leib, PHD

Individual provider Clinical Psychologist · NPI 1457350506

Mr. Jere W Leib, PHD is a Clinical Psychologist in Fort Wayne, Indiana. Qualified in 1970, 56 years ago. Practices with Psychological Service Associates, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
56
Licensed in
IN
In the registry since
2005
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

3421 E State Blvd
Fort Wayne, IN 46805-4830
Phone: (260) 482-8427
Fax: (260) 482-8429
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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 20010181 (IN)

Record details

NPI number1457350506
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 20, 2005
Last updated in NPPESAugust 12, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Group practice Psychological Service Associates, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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