Active NPI
Ross Stanley Deleonardo Jr., MD
- Psychiatry Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 51245
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 724-5600
- NPI assigned
- Jun 4, 2008
- Last updated
- May 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 271985 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 51245 | CT | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
1111 Amsterdam Ave
Scrymser 3Rd Floor
New York, NY 10025-1716
Phone (212) 523-6500
Other practice location 1
1111 Amsterdam Ave
Scrymser 3rd Floor
New York, NY 10025-1716
Phone (212) 523-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035441 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 Central Ave
Bridgeport, CT 06610-2717
Phone (203) 551-7464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51245 | CT | MD | Psychiatry Physician |
| 271985 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Neighborhood Health, Inc. | Psychiatry | Current | Accepting new patients |
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Psychiatry | Current | Accepting new patients |
Locations
1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southwest Connecticut Mental Health System
- Psychiatric Hospital
- Bridgeport, CT
- NPI 1720013360
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Psychiatry
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba HHC Neighborhood Health
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Psychiatry
-
dba Department of Veterans' Affairs, Veterans Home
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1437318599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"address_2": "SCRYMSER 3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-6500",
"fax_number": "212-523-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-5600"
}
],
"practiceLocations": [
{
"address_1": "1111 Amsterdam Ave",
"address_2": "Scrymser 3rd Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100251716",
"country_code": "US",
"telephone_number": "212-523-6500",
"fax_number": "212-523-5677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELEONARDO",
"first_name": "ROSS",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "271985",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "51245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035441",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.