Lesley Thompson Brodie, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

287048 Issued in MA

Practice address

82 Elm Street
Manchester Center, VT 05255

Phone

(802) 367-1068

Fax

(802) 367-1069

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lesley Brodie, M.D., P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Manchester Center, VT
  • NPI 1114347440
  NPD (past) Authorized official

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1720050552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 ELM ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559642",
            "telephone_number": "802-392-2146",
            "fax_number": "802-367-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 ELM STREET",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "05255",
            "telephone_number": "802-367-1068",
            "fax_number": "802-367-1069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MountainOne Student Wellness Center",
            "address_2": "375 Church Street",
            "address_purpose": "LOCATION",
            "city": "North Adams",
            "state": "MA",
            "postal_code": "01247",
            "country_code": "US",
            "telephone_number": "413-862-5331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Academy Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083198",
            "country_code": "US",
            "telephone_number": "518-426-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Integrative Wellbeing Services",
            "address_2": "100 Hoxsey",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "MA",
            "postal_code": "01267",
            "country_code": "US",
            "telephone_number": "413-597-2353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "LESLEY",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "57553361205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "261723-01",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0012150",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "57553361205",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "261723-01",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VT",
            "license": "042-0012150",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "57553361205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "287048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019286",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Ray Bazyk
• Austen Bingham, LPC
• Lia B Braico, FNP-BC
• Jennifer Labelle Breen, MS/CCC-SLP
• Rebecca G Breslow, M.D.
• Bromley Brook School
• Geoffry Lee Campe, D.D.S.
• Kristina Marie Cerza, PHARM. D.
• Chiropractic Care Center Inc
• Kathryn Clover, LICSW

• Psychiatry Physician in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.