NPIMap

Organization Active NPI

Playfulleigh Psyched, LLC

Doing business as PlayfulLeigh Psyched

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
National Provider Identifier
1720575350
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LC8553 Issued in MD
Legal business name
PLAYFULLEIGH PSYCHED, LLC
Doing business as
PlayfulLeigh Psyched
Practice address
2920 Meramec St Unit 26909
Saint Louis, MO 63118-4462
Phone
(202) 838-7529
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Dr. Latrice L Dowtin, PHD, LCPC, NCSPNPI 1366977407
Title
Managing Member, Owner
Phone
(202) 499-9188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LC8553 MD Primary

Addresses

Primary practice location

2920 Meramec St Unit 26909
Saint Louis, MO 63118-4462

Mailing address

2920 Meramec St Unit 26909
Saint Louis, MO 63118-4462
Phone (202) 838-7529

Other practice location 1

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone (202) 499-9188

Other names 1

  • PlayfulLeigh Psyched Doing business as

National Provider Directory

National Provider Directory

Locations

2920 Meramec St
Unit 26909
Saint Louis, MO 63118
Phone (202) 838-7529

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1720575350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 MERAMEC ST UNIT 26909",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184462",
            "telephone_number": "202-838-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 MERAMEC ST UNIT 26909",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184462",
            "telephone_number": "202-838-7529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Thayer Ctr Ste C",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215501139",
            "country_code": "US",
            "telephone_number": "202-499-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLAYFULLEIGH PSYCHED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "DOWTIN",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER, OWNER",
        "authorized_official_telephone_number": "202-499-9188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCPC, NCSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC8553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PlayfulLeigh Psyched",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.