Active NPI
Elana Leibovitch, PSYD
- Psychologist
- Linthicum, MD
National Provider Identifier
1710736830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 07462
- Practice address
- 1190 Winterson Rd Ste 160
Linthicum, MD 21090-2245 - Phone
- (410) 684-3806
- NPI assigned
- May 13, 2024
- Reactivated
- Jun 27, 2024
- Last updated
- May 14, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 07462 | MD | Primary |
Addresses
Primary practice location
1190 Winterson Rd Ste 160
Linthicum, MD 21090-2245
Mailing address
534 E Clement St
Baltimore, MD 21230-4719
Phone (954) 644-9434
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07462 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1710736830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 E CLEMENT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304719",
"telephone_number": "954-644-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 WINTERSON RD STE 160",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902245",
"telephone_number": "410-684-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBOVITCH",
"first_name": "ELANA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"deactivation_date": "2024-05-13",
"reactivation_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "07462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linthicum, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.