Individual provider Active NPI

Robert Ryan Leahy, M.D.

  • Psychiatry Physician
  • Waukesha, WI
National Provider Identifier
1679917900
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1411 Issued in WI
Practice address
N19W24400 Riverwood Drive
Suite 350 Pmb17043677
Waukesha, WI 53188
Phone
(262) 500-4324
Fax
(262) 384-3658
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X ME132139 FL
Child & Adolescent Psychiatry Physician 2084P0804X ME132139 FL
Child & Adolescent Psychiatry Physician 2084P0804X 1411 WI
Psychiatry Physician 2084P0800X 52003 SC
Forensic Psychiatry Physician 2084F0202X 52003 SC
Psychiatry Physician 2084P0800X ME132139 FL
Child & Adolescent Psychiatry Physician 2084P0804X 52003 SC
Psychiatry Physician 2084P0800X 1411 WI Primary

Addresses

Primary practice location

N19W24400 Riverwood Drive
Suite 350 Pmb17043677
Waukesha, WI 53188

Mailing address

1180 Newfield Ave
Stamford, CT 06905-1409
Phone (314) 888-5233

Other practice location 1

1501 Airport Rd
Waukesha, WI 53188-2461
Phone (262) 548-7951

Other practice location 2

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-7859

Other names 1

  • R. Ryan Leahy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IL, WI, IA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190904003324 SC Practitioner - Psychiatry 6507002169 Reassigns benefits to 1 organization
I20211122000350 IL Practitioner - Psychiatry 6507002169 Reassigns benefits to 1 organization
I20220516002369 WI Practitioner - Psychiatry 6507002169 Reassigns benefits to 5 organizations
I20250128003589 IA Practitioner - Psychiatry 6507002169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone (920) 433-3630

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52003SCMDNeurology Physician
ME132139FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jan 6, 2025 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jul 29, 2025 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince May 31, 2023 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Jul 29, 2025 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince May 31, 2023 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Genesis Health System CurrentSince Jan 6, 2025 Accepting new patients
Bellin Memorial Hospital, Inc CurrentSince Jul 29, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince Oct 13, 2021 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Jul 29, 2025 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: rleahymd337541@carlehiedirect.net
  • Direct secure messaging: rleahy158712@direct.phci.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1679917900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051409",
            "telephone_number": "314-888-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N19W24400 RIVERWOOD DRIVE",
            "address_2": "SUITE 350 PMB17043677",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-500-4324",
            "fax_number": "262-384-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531882461",
            "country_code": "US",
            "telephone_number": "262-548-7951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013505",
            "country_code": "US",
            "telephone_number": "920-433-7859",
            "fax_number": "920-433-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "ROBERT",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "ME132139",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME132139",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "1411",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "52003",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "SC",
            "license": "52003",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME132139",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "52003",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "1411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "LEAHY",
            "middle_name": "RYAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.