Individual provider Active NPI

Leslie Greene Macauley, MD

  • Child & Adolescent Psychiatry Physician
  • East Lansing, MI
National Provider Identifier
1902981103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4301062299 Issued in MI
Practice address
4970 Northwind Dr
East Lansing, MI 48823-5080
Phone
(989) 345-1000
Fax
(989) 345-5803
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 4301062299 MI Primary

Addresses

Primary practice location

4970 Northwind Dr
East Lansing, MI 48823-5080

Mailing address

611 Court St
PO Box 428
West Branch, MI 48661-9390
Phone (989) 345-1000

Other identifiers 1

IdentifierTypeStateIssuer
4455930MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000757 MI Practitioner - Psychiatry 2961303409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Professional Psychological ConsultantsGroup PAC ID 5193880284, 15 clinicians

Practice addresses (Care Compare)

5031 Park Lake Rd
East Lansing, MI 48823-3835
Phone (517) 332-0811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bay-Arenac Behavioral Health CurrentSince Nov 30, 2019 Accepting new patients
Tuscola County Community Mental Health Services Board CurrentSince Mar 16, 2019 Accepting new patients
Meridian Professional Psychological Consultants Psychiatry CurrentSince Sep 17, 2022 Accepting new patients
New Center Community Mental Health Services Past Accepting new patients
Professional Psychological and Rehabilitation Services, PC Past Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients
Sleep Diagnostics of Michigan PC PastSince May 1, 2001 Accepting new patients
New Center Community Mental Health Services PastSince Sep 2, 2008 Accepting new patients

Locations

201 Mulholland St
Bay City, MI 48708
Phone (989) 895-2222

323 N State St
Caro, MI 48723
Phone (989) 673-6191

1332 Prospect Ave
Caro, MI 48723
Phone (989) 673-6191

5031 Park Lake Rd
East Lansing, MI 48823
Phone (517) 332-0811

3815 W Saint Joseph St
Ste A101
Lansing, MI 48917
Phone (517) 321-5900

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902981103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "address_2": "PO BOX 428",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-1000",
            "fax_number": "989-345-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 NORTHWIND DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235080",
            "telephone_number": "989-345-1000",
            "fax_number": "989-345-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULEY",
        "first_name": "LESLIE",
        "middle_name": "GREENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301062299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4455930",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.