Organization Active NPI

Leonardtown Behavioral Health LLC

  • Psychiatry Physician
  • Chevy Chase, MD
National Provider Identifier
1023525904
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LEONARDTOWN BEHAVIORAL HEALTH LLC
Practice address
2 Wisconsin Cir Ste 210
Chevy Chase, MD 20815-7064
Phone
(301) 363-4740
Fax
(301) 363-4740
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul Howell
Title
Business Manager
Phone
(301) 363-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2 Wisconsin Cir Ste 210
Chevy Chase, MD 20815-7064

Mailing address

10421 Motor City Dr Unit 34713
Bethesda, MD 20827-7529
Phone (301) 363-4740

National Provider Directory

National Provider Directory

Locations

10421 Motor City Dr
Unit 34713
Bethesda, MD 20827

2 Wisconsin Cir
Ste 210
Chevy Chase, MD 20815
Phone (301) 263-9888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1023525904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 MOTOR CITY DR UNIT 34713",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208277529",
            "telephone_number": "301-363-4740",
            "fax_number": "301-363-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 210",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157064",
            "telephone_number": "301-363-4740",
            "fax_number": "301-363-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARDTOWN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-363-4740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.