Individual provider Active NPI

Colleen Leitner, MD

  • Psychiatry Physician
  • Lewes, DE
National Provider Identifier
1235593765
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1-0024146 Issued in DE
Practice address
1518 Savannah Rd
Lewes, DE 19958-1624
Phone
(302) 448-4266
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X C1-0024146 DE
Psychiatry Physician 2084P0800X C1-0024146 DE Primary

Addresses

Primary practice location

1518 Savannah Rd
Lewes, DE 19958-1624

Mailing address

1518 Savannah Rd
Lewes, DE 19958-1624
Phone (302) 448-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, DE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221213001876 MD Practitioner - Psychiatry 8426342130 Reassigns benefits to 1 organization
I20221213002019 DC Practitioner - Psychiatry 8426342130 Reassigns benefits to 1 organization
I20230110000382 DE Practitioner - Psychiatry 8426342130 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0024146DEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Psych Associates, LLC Psychiatry CurrentSince Dec 1, 2023 Accepting new patients
Neta, Inc. Child & Adolescent Psychiatry PastSince Jan 21, 2020 Accepting new patients

Locations

1510 Savannah Rd
Lewes, DE 19958
Phone (302) 448-4266

1518 Savannah Rd
Lewes, DE 19958
Phone (302) 448-4266

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1235593765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581624",
            "telephone_number": "302-448-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581624",
            "telephone_number": "302-448-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITNER",
        "first_name": "COLLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DE",
            "license": "C1-0024146",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0024146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.