Individual provider Active NPI

Robert Lea, ED.D, LP

  • Psychologist
  • Westminster, MD
National Provider Identifier
1184666166
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02076 Issued in MD
Practice address
532 Baltimore Blvd Ste 311
Westminster, MD 21157-6119
Phone
(410) 294-9612
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02076 MD Primary

Addresses

Primary practice location

532 Baltimore Blvd Ste 311
Westminster, MD 21157-6119

Mailing address

532 Baltimore Blvd Ste 311
Westminster, MD 21157-6119
Phone (410) 294-9612

Other practice location 1

250 Englar Rd Ste 10
Westminster, MD 21157-2927
Phone (410) 294-9612

Other identifiers 1

IdentifierTypeStateIssuer
024202100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070330000460 MD Practitioner - Clinical Psychologist 4587624457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Hearts Carroll LLCGroup PAC ID 7810356268, 6 clinicians
Chester River Behavioral Health, LLCGroup PAC ID 2860469418, 7 clinicians

Practice addresses (Care Compare)

532 Baltimore Blvd
Suite 311
Westminster, MD 21157-6119
Phone (410) 294-9612

952 Washington Ave
Chestertown, MD 21620-3322
Phone 410778555016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02076MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Carroll LLC CurrentSince Jan 27, 2026 Accepting new patients
Healing Hearts Carroll LLC CurrentSince Sep 21, 2025 Accepting new patients
Chester River Behavioral Health, LLC Psychologist CurrentSince Mar 21, 2025 Accepting new patients

Locations

952 Washington Ave
Chestertown, MD 21620
Phone (410) 778-0003

250 Englar Rd
Ste 10
Westminster, MD 21157
Phone (410) 249-9612

532 Baltimore Blvd
Ste 311
Westminster, MD 21157
Phone (410) 294-9612

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1184666166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BALTIMORE BLVD STE 311",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576119",
            "telephone_number": "410-294-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 BALTIMORE BLVD STE 311",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576119",
            "telephone_number": "410-294-9612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Englar Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211572927",
            "country_code": "US",
            "telephone_number": "410-294-9612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEA",
        "first_name": "ROBERT",
        "credential": "ED.D, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024202100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.