Led Life, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LED LIFE, LLC

Practice address

3505 Ellicott Mills Dr Ste A2
Ellicott City, MD 21043-4578

Phone

(507) 533-5433

NPI assigned

Sep 25, 2020

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bergina IsbellNPI 1861577553

Title

Chief Medical Officer

Phone

(507) 533-5441

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bergina Brickhouse Isbell, MD

  • Psychiatry Physician
  • Ellicott City, MD
  • NPI 1861577553
  NPD Authorized official

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1659988400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6500",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210456500",
            "telephone_number": "507-533-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 ELLICOTT MILLS DR STE A2",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434578",
            "telephone_number": "507-533-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Ellicott Mills Dr Ste L",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210434622",
            "country_code": "US",
            "telephone_number": "507-533-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LED LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ISBELL",
        "authorized_official_first_name": "BERGINA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "507-533-5441"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@ledlifellc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email correspondence",
            "address_1": "3505 Ellicott Mills Dr Ste A2",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210434578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Manabat Laxamana, PT
• Thomas T. Le, M.D.
• Leaf Mental Health Inc
• Melissa Lean, PSY.D.
• Danielle Luise Leclair, CRNP
• Brian Jen Lee, MD
• Connie Lee
• David Lee, DDS
• Hannah Lee
• Jasmine Seungwon Lee

• Psychiatry Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.