Active NPI
Leon Louis Plitt Gellert, PSYD
- Psychologist
- Bryn Mawr, PA
National Provider Identifier
1427754811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS018824
- Practice address
- 14 Elliott Ave
Bryn Mawr, PA 19010-3412 - Phone
- (917) 714-9808
- NPI assigned
- Feb 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS018824 | PA | Primary |
Addresses
Primary practice location
14 Elliott Ave
Bryn Mawr, PA 19010-3412
Mailing address
24 Decatur Rd
Havertown, PA 19083-1412
Phone (917) 714-9808
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018824 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1427754811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 DECATUR RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190831412",
"telephone_number": "917-714-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 ELLIOTT AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103412",
"telephone_number": "917-714-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLERT",
"first_name": "LEON",
"middle_name": "LOUIS PLITT",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS018824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.