Individual provider Active NPI

Charles Brown Leonard IV, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Westminster, MD
National Provider Identifier
1871272393
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R184507 Issued in MD
Practice address
909 Baltimore Blvd Ste 142
Westminster, MD 21157-7069
Phone
(410) 357-1429
NPI assigned
Jul 12, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R184507 MD Primary

Addresses

Primary practice location

909 Baltimore Blvd Ste 142
Westminster, MD 21157-7069

Mailing address

909 Baltimore Blvd Ste 142
Westminster, MD 21157-7069
Phone (410) 357-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818002337 MD Practitioner - Nurse Practitioner 6103288329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Together We Can Mental Health ServicesGroup PAC ID 5496155400, 5 clinicians

Practice addresses (Care Compare)

909 Baltimore Blvd
Suite 142
Westminster, MD 21157-7069
Phone (410) 357-1429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R184507MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Together We Can Mental Health Services Psychiatric/Mental Health CurrentSince Jul 25, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

909 Baltimore Blvd
Ste 142
Westminster, MD 21157
Phone (410) 357-1429

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1871272393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BALTIMORE BLVD STE 142",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577069",
            "telephone_number": "410-357-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BALTIMORE BLVD STE 142",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577069",
            "telephone_number": "410-357-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "CHARLES",
        "middle_name": "BROWN",
        "name_suffix": "IV",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R184507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.