Active NPI
Leslie A Montana, MD, MPH
- Psychiatry Physician
- Durham, NC
National Provider Identifier
1982794863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200200260
- Practice address
- 309 Crutchfield St
Durham, NC 27704-2754 - Phone
- (919) 560-7305
- Fax
- (919) 560-7478
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200200260 | NC | Primary |
Addresses
Primary practice location
309 Crutchfield St
Durham, NC 27704-2754
Mailing address
104 New Stateside Dr
Chapel Hill, NC 27516-1165
Phone (919) 942-2803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89131T2 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200200260 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom House Recovery Center, Inc. | Past | Accepting new patients | |
| Freedom House Recovery Center, Inc. | Past | Accepting new patients | |
| Youth Development Corporation of America | Past | Accepting new patients | |
| Youth Development Corporation of America | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1548490378
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1609047158
-
dba Caring Family Network
- Community/Behavioral Health Agency
- Pittsboro, NC
- NPI 1336280270
-
dba Caring Family Network
- Community/Behavioral Health Agency
- Henderson, NC
- NPI 1629023569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1982794863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 NEW STATESIDE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275161165",
"telephone_number": "919-942-2803",
"fax_number": "919-942-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042754",
"telephone_number": "919-560-7305",
"fax_number": "919-560-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANA",
"first_name": "LESLIE",
"middle_name": "A",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200200260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89131T2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.