Organization Active NPI

Karen M Leblanc MD LLC

  • Psychiatry Physician
  • Fitchburg, MA
National Provider Identifier
1245620707
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
252568 Issued in MA
Legal business name
KAREN M LEBLANC MD LLC
Practice address
33 Electric Ave
Suite 205
Fitchburg, MA 01420-7954
Phone
(978) 345-5925
Fax
(978) 345-4780
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Karen M Leblanc, MDNPI 1770781130
Title
Psychiatrist
Phone
(978) 345-5925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 252568 MA Primary

Addresses

Primary practice location

33 Electric Ave
Suite 205
Fitchburg, MA 01420-7954

Mailing address

33 Electric Ave
Suite 205
Fitchburg, MA 01420-7954
Phone (978) 345-5925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150820009628 MA Part B Supplier - Clinic/Group Practice 1850606831 Receives reassigned benefits from 1 practitioner
Practice locations: Fitchburg, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1245620707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE",
            "address_2": "SUITE 205",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-345-5925",
            "fax_number": "978-345-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE",
            "address_2": "SUITE 205",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-345-5925",
            "fax_number": "978-345-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN M LEBLANC MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "978-345-5925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "252568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.