Individual provider Active NPI

Adrienne Dione Leca, PSY.D.

  • Clinical Psychologist
  • Beltsville, MD
National Provider Identifier
1427281054
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06679 Issued in MD
Practice address
11710 Ellington Dr
Beltsville, MD 20705-1307
Phone
(254) 449-2895
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1000370 DC
Clinical Child & Adolescent Psychologist 103TC2200X PSY1000370 DC
Clinical Child & Adolescent Psychologist 103TC2200X 06679 MD
Clinical Psychologist 103TC0700X 06679 MD Primary

Addresses

Primary practice location

11710 Ellington Dr
Beltsville, MD 20705-1307

Mailing address

11710 Ellington Dr
Beltsville, MD 20705-1307
Phone (254) 449-2895

Other practice location 1

Unit 15245
Apo, AP 96271-5245
Phone (315) 737-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY1000370DCMDClinical Child & Adolescent Psychologist
06679MDMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1427281054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 ELLINGTON DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051307",
            "telephone_number": "254-449-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 ELLINGTON DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051307",
            "telephone_number": "254-449-2895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Unit 15245",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "962715245",
            "country_code": "US",
            "telephone_number": "315-737-1411",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "LECA",
        "first_name": "ADRIENNE",
        "middle_name": "DIONE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000370",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DC",
            "license": "PSY1000370",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "06679",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.