Active NPI
Leslie Anne Parker, PHD
- Adult Development & Aging Psychologist
- Catonsville, MD
National Provider Identifier
1487670519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- License
- 1347
- Practice address
- 5707 Calverton St
Ste 1-C
Catonsville, MD 21228-4154 - Phone
- (410) 744-4017
- Fax
- (410) 744-4145
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 1347 | MD | Primary |
Addresses
Primary practice location
5707 Calverton St
Ste 1-C
Catonsville, MD 21228-4154
Mailing address
5707 Calverton St
Suite 1-C
Catonsville, MD 21228-4154
Phone (410) 744-4017
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1347 | MD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1487670519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 CALVERTON ST",
"address_2": "SUITE 1-C",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284154",
"telephone_number": "410-744-4017",
"fax_number": "410-744-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 CALVERTON ST",
"address_2": "STE 1-C",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284154",
"telephone_number": "410-744-4017",
"fax_number": "410-744-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "LESLIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MD",
"license": "1347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.