Carla a. Leonard, Inc

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

R094983 Issued in MD

Legal business name

CARLA A. LEONARD, INC

Practice address

1206 Regal LN
Crownsville, MD 21032-1404

Phone

(410) 903-2806

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Carla LeonardNPI 1083770861

Title

Nurse Psychotherapist

Phone

(410) 903-2806

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla A. Leonard, RN, CS-P

  • Mental Health Counselor
  • Crownsville, MD
  • NPI 1083770861
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1700217767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 REGAL LN",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 REGAL LN",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321404",
            "telephone_number": "410-903-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA A. LEONARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "NURSE PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-903-2806"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MD",
            "license": "R094983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462000300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Bracken, MD
• Mary Elizabeth Brennan, M.D.
• Marjorie Muth Brosi, RN, L.AC.
• Kristin Lynn Bussell, MS, CRNP-PMH
• Careworks Innovation LLC
• Lakshmi Isanaka Chillakuru, M.D
• Chrysalis House Inc
• Chrysalis House, Inc
• Chrysalis House, Inc.
• Comprehensive Rehab Consultants PLLC

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Crownsville, MD
• Providers in Crownsville, MD by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.