Individual provider Active NPI

Leonard C Vanderlinde, MD

  • Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1235142548
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0059209 Issued in MD
Practice address
5709 Brewer House Cir
Apt. 101
Rockville, MD 20852-5428
Phone
(240) 731-2699
NPI assigned
Aug 15, 2006
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 282149 NY
Psychiatry Physician 2084P0800X 49354 MA
Psychiatry Physician 2084P0800X D0059209 MD Primary
Psychiatry Physician 2084P0800X 430149120 MI
Psychiatry Physician 2084P0800X MD20773 SC

Addresses

Primary practice location

5709 Brewer House Cir
Apt. 101
Rockville, MD 20852-5428

Mailing address

5709 Brewer House Cir
Apt. 101
Rockville, MD 20852-5428
Phone (240) 731-2699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050210000804 MI Practitioner - Psychiatry 7113979865 Reassigns benefits to 2 organizations
I20110609000645 MD Practitioner - Psychiatry 7113979865 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430149120MIMDPsychiatry Physician
282149NYMDPsychiatry Physician
MD20773SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc. Psychiatry CurrentSince Jun 1, 2014 Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince Sep 1, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 6, 2015 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jun 1, 2014 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 6, 2015 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Current Accepting new patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Sep 1, 2023 Accepting new patients
Arbor Circle Corporation Psychiatry PastSince Feb 14, 2011 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Past Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

5262 Woods Rd
Cambridge, MD 21613
Phone (410) 221-2300

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1235142548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 BREWER HOUSE CIR",
            "address_2": "APT. 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525428",
            "telephone_number": "240-731-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 BREWER HOUSE CIR",
            "address_2": "APT. 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525428",
            "telephone_number": "240-731-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLINDE",
        "first_name": "LEONARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "282149",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "49354",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0059209",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "430149120",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "MD20773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.