Healthcare Provider Details

I. General information

NPI: 1720912348
Provider Name (Legal Business Name): LEI L. SUN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. LEI LEVINSKY SUN

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 WESTGATE RD
CHESTNUT HILL MA
02467-3430
US

IV. Provider business mailing address

21 WESTGATE RD APT 6
CHESTNUT HILL MA
02467-3430
US

V. Phone/Fax

Practice location:
  • Phone: 786-678-8234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: