Leila Annette Bakry-Becker, PSY.D.
Individual provider Active NPI Clinical Psychologist · Silver Spring, MD
NPI 1609030287 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1609030287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 04379 (MD)
- Practice address
- 804 Pershing Dr
Suite 004
Silver Spring, MD 20910 - Phone
- (301) 588-3088
- Fax
- (301) 588-3087
- NPI assigned
- Jul 14, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000209 | DC | MD | Clinical Psychologist |
| 0810003333 | VA | MD | Clinical Psychologist |
| 04379 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1000209 | DC | |
| Clinical Psychologist | 103TC0700X | 0810003333 | VA | |
| Clinical Psychologist | 103TC0700X | 04379 | MD | Yes |
Addresses
Primary practice location
804 Pershing Dr
Suite 004
Silver Spring, MD 20910
Mailing address
804 Pershing Dr
Suite 004
Silver Spring, MD 20910-4434
Phone (214) 725-8062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064639300 | Medicaid | MD |
Other names
- Ms. Leila Annette Golden
Other providers in Silver Spring, MD
- Lorraine Baker-Francis
- Patricia K. S. Baker
- Robin Baker
- Samantha Baker
- Tierra Baker
- Husna Baksh
- Angela Susan Balaba
- Murali Balakrishnan
- Amira Balala
- Balance and Wellness LLC
All providers in Silver Spring, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.