Individual provider Active NPI

Leila Marie Malavite, D.AC., L.AC.

  • Acupuncturist
  • Ellicott City, MD
National Provider Identifier
1073267597
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02872 Issued in MD
Practice address
5024 Dorsey Hall Dr Ste 202B
Ellicott City, MD 21042-7869
Phone
(330) 415-2238
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02872 MD Primary

Addresses

Primary practice location

5024 Dorsey Hall Dr Ste 202B
Ellicott City, MD 21042-7869

Mailing address

5024 Dorsey Hall Dr Ste 202B
Ellicott City, MD 21042-7869
Phone (330) 415-2238

Other practice location 1

3525 Ellicott Mills Dr Ste G
Ellicott City, MD 21043-4638
Phone (410) 988-8092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
U02872MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sagelight Integrative Wellness Center Acupuncturist PastSince Feb 1, 2022 Accepting new patients
Psychiatry Specialities Clinics, LLC PastSince Oct 15, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1073267597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DR STE 202B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427869",
            "telephone_number": "330-415-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DR STE 202B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427869",
            "telephone_number": "330-415-2238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Ellicott Mills Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210434638",
            "country_code": "US",
            "telephone_number": "410-988-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAVITE",
        "first_name": "LEILA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.AC., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.