Active NPI
Curtis Gradie Leipold, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Clarkston, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704257453
- Practice address
- 6549 Town Center Dr
Clarkston, MI 48346-4824 - Phone
- (248) 620-6400
- NPI assigned
- Nov 9, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704257453 | MI | Primary |
Addresses
Primary practice location
6549 Town Center Dr
Clarkston, MI 48346-4824
Mailing address
702 S Gainsborough Ave
Royal Oak, MI 48067-2985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704257453 | Other | MI | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gv1765@wayne.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2157 University Park Dr
Suite 1
Okemos, MI 48864-5956
Phone (517) 243-9738
53435 Grand River Ave
New Hudson, MI 48165-8521
Phone (810) 494-7180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704257453 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Generations Wellness Center Inc | Current | Accepting new patients | |
| Downriver Mental Health Clinic PC | Current | Accepting new patients | |
| Downriver Mental Health Clinic PC | Current | Accepting new patients | |
| Generations Wellness Center | Current | Accepting new patients | |
| Better Health Therapy Center LLC | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1760 S Telegraph Rd
Ste 220
Bloomfield Hills, MI 48302
Phone (248) 587-7618
1760 S Telegraph Rd
Ste 200
Bloomfield Township, MI 48302
1760 S Telegraph Rd
Ste 200220
Bloomfield Township, MI 48302
Phone (734) 285-8282
1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
53435 Grand River Ave
New Hudson, MI 48165
Phone (517) 492-0517
2157 University Park Dr
Ste 1
Okemos, MI 48864
Phone (517) 243-9738
20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 285-8282
Interoperability endpoints
- lifestancehealth.curtisleipold@150339.advancedmd-direct.com
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Okemos, MI
- NPI 1508382367
-
- Psychologist
- Taylor, MI
- NPI 1295866135
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
MI, Psychiatric/Mental Health
-
- Psychologist
- Taylor, MI
- NPI 1104930130
-
- Clinical Child & Adolescent Psychologist
- Warren, MI
- NPI 1841985900
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warren, MI
- NPI 1225755440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1801552336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 S GAINSBOROUGH AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6549 TOWN CENTER DR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464824",
"telephone_number": "248-620-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIPOLD",
"first_name": "CURTIS",
"middle_name": "GRADIE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704257453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4704257453",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gv1765@wayne.edu",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "702 S Gainsborough Ave",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480672985",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.