JUSTIN LEAHY (NPI# 1134599475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134599475 |
| Entity Type | Individual |
| Full Name | JUSTIN LEAHY |
| Practice Address |
2225 N Charles St Baltimore MD 21218-5778 |
| Mailing Address |
322 W 28th St Baltimore MD 21211-3024 |
| Practice Telephone | 4105622867 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R198201 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2225 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295841658 | Gwendolyn O Johnson | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2006-08-21 |
| 1588202220 | Mosaic Community Services, Inc | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-12-12 |
| 1376109975 | Santana Marie Daugherty | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-05-20 |
| 1588147904 | Iris Th Heath | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-09-11 |
| 1336626928 | Monica Dominguez | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-07-26 |
| 1487141784 | Julia May | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-04-23 |
| 1427587153 | Martin Zayon | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2017-06-06 |
| 1073042057 | Lawrence Rakhmanov | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2017-06-05 |
| 1750734687 | Stephanie P Tobar | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2016-07-15 |
| 1821448101 | Ashley Michelle Wall | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1740804749 | Lawretta Orobosa Jinadu | Nurse Practitioner | 950 Southerly Rd, Baltimore, MD 21204-2756 | 2020-06-04 |
| 1205458536 | Raphael Ernest Gikonyo | Nurse Practitioner | 100 Walnut Ave, Baltimore, MD 21206-1032 | 2020-05-08 |
| 1336768787 | Sylvianne Akum | Nurse Practitioner | 7531 Roxy Dr, Baltimore, MD 21244-2064 | 2020-04-15 |
| 1801444716 | Fore Counselling Health Centre | Nurse Practitioner | 821 N Eutaw St Ste 202, Baltimore, MD 21201-6302 | 2019-09-04 |
| 1659929487 | Malama Medical, LLC | Nurse Practitioner | 34 York Ct, Baltimore, MD 21218-1248 | 2019-08-26 |
| 1679128680 | Catherine O Nwah | Nurse Practitioner | 6416 Martinique Rd, Baltimore, MD 21237-2046 | 2019-08-06 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.