Leon Psychiatric Services PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LEON PSYCHIATRIC SERVICES PLLC

Practice address

3101 S Austin Ave
Georgetown, TX 78626-7541

Phone

(877) 500-9151

NPI assigned

Dec 20, 2018

Last updated

May 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip J. Leon, MDNPI 1023069853

Title

Owner

Phone

(877) 500-9151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Joseph Leon, MD

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1023069853

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1265904817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SHEEPSHANK DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332098",
            "telephone_number": "918-557-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S AUSTIN AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267541",
            "telephone_number": "877-500-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-500-9151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "Q8283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legend Dental-Georgetown (Legend Dental & Orthodontics)
• Jeremy D Leland, DDS MD
• Anjanette Arlene Lelko, PHARM D, RN
• Allison Rebecca Lemone
• Kristie Lee Lensing, LPC
• Jennifer Lesniewski, O.D
• Jennifer N Lestico, PHARMD
• Jonathan A. Levey, DDS
• Levo Dental 2 PLLC (Smile Haus)
• Levo Dental 2 PLLC (Smile Haus Georgetown)

• Psychiatry Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.