LEISTIKOWMD LLC
Clinic/Center (Adult Mental Health)

Address: 1501 Sulgrave Ave Ste 202, Baltimore, MD 21209-3650

LEISTIKOWMD LLC (NPI# 1285213843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285213843
Entity Type Organization
Organization Name LEISTIKOWMD LLC
Practice Address 1501 Sulgrave Ave Ste 202
Baltimore
MD 21209-3650
Practice Telephone 4434591840
Mailing Address 1307 Park Ave
Baltimore
MD 21217-4104
Mailing Telephone 4437999384
Certification Date 2021-04-16
Enumeration Date 2021-04-02
Last Update Date 2021-04-16
Authorized Official Telephone 4437999384
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 1501 SULGRAVE AVE STE 202
City BALTIMORE
State MD
Zip Code 21209-3650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760965040 Dr Michelle L Friedman LLC Psychologist 1501 Sulgrave Ave Ste 202, Baltimore, MD 21209-3650 2018-09-12
1861784118 Nicole Leistikow Student in an Organized Health Care Education/Training Program 1501 Sulgrave Ave Ste 202, Baltimore, MD 21209-3650 2011-05-04
1821169558 Michelle L Friedman Psychologist 1501 Sulgrave Ave Ste 202, Baltimore, MD 21209 2006-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033737226 Sara Bortner Registered Nurse 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2020-07-14
1245701713 Mid Atlantic Neuropsychology LLC Clinical Neuropsychologist 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 2018-12-10
1013049550 Mark Mishory Counselor - Professional 1501 Sulgrave Ave Ste 205, Baltimore, MD 21209-3650 2007-03-11
1083228506 Gladstone Psychiatry Clinic/Center - Mental Health (Including Community Mental Health Center) 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2020-09-02
1942855523 Sirah Leyere-Ue Okoluku Nurse Practitioner - Psych/Mental Health 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2019-08-09
1821550856 Meira Ference Counselor - Mental Health 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 2019-03-31
1881152783 Mark Anthony Bergonia Ison Nurse Practitioner - Psych/Mental Health 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2019-03-09
1245795103 Integrative Therapy Center of Maryland, LLC Counselor 1501 Sulgrave Ave Ste 205, Baltimore, MD 21209-3650 2019-02-05
1114496197 Christina White Counselor - Professional 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2018-11-19
1891208484 Solomon Counseling, LLC Clinic/Center - Adult Mental Health 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 2017-11-06
Find all providers in zip 21209-3650

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1659996239 Esther Deena Kahn Occupational Therapist 2325 Blackberry Rd, Baltimore, MD 21209 2020-06-10
1356988059 Bunny's Home Care, LLC Home Health Aide 1340 Smith Avenue, Baltimore, MD 21209 2019-12-02
1982161246 Sylvia Stewart Powell Social Worker - Clinical 4600 Falls Road, Baltimore, MD 21209 2019-02-22
1326513169 Nicole Ellerbe Massage Therapist 5550 Newbury Street, Suite A Office E, Baltimore, MD 21209 2018-10-08
1417448861 Ting-Jia Rosalinda Huang Lorigiano Student in an Organized Health Care Education/Training Program 581 Smith Avenue, Suite 210, Baltimore, MD 21209 2018-05-22
1427546126 Lea Jane Selitsky Student in an Organized Health Care Education/Training Program The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 2018-04-27
1508362609 Total Women's Health of Baltimore,Pa Obstetrics & Gynecology 6080 Falls Rd Ste 204, Baltimore, MD 21209 2018-04-05
1083118418 Jerome N Beck Speech-Language Pathologist 5710 Newbury St., Baltimore, MD 21209 2018-03-21
1730673096 Jessie Lyn Jaskulsky Speech-Language Pathologist 7224 Denberg Rd, Baltimore, MD 21209-1006 2018-06-20
1356804330 Lillian Blank Speech-Language Pathologist 9 Hurdleford Ct, Baltimore, MD 21209-1070 2019-04-08
Find all providers in zip 21209

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265017347 Be-Live-It Therapy Clinic/Center - Adult Mental Health 1910 N Broadway Ste 101, Baltimore, MD 21213-1444 2021-03-10
1245833797 Future Hope Behavioral Mental Health Services Clinic/Center - Adult Mental Health 1924 Ellinwood Rd, Baltimore, MD 21237-1914 2020-11-18
1114526381 Resilient Minds Counseling Clinic/Center - Adult Mental Health 414 Lyman Ave, Baltimore, MD 21212-3511 2020-10-20
1700490562 Denoor Healthcare Services Inc Clinic/Center - Adult Mental Health 1935-1937 West Pratt, Baltimore, MD 21223-2122 2020-08-31
1265041008 Truecare Behavioral Health Systems, Inc Clinic/Center - Adult Mental Health 330 E 25th St Ste 101, Baltimore, MD 21218-5359 2020-07-28
1578171088 Dana Shaw LLC Clinic/Center - Adult Mental Health 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 2020-07-21
1962037291 Transformed Perspectives Clinic/Center - Adult Mental Health 2807 Ailsa Ave, Baltimore, MD 21214-2522 2020-03-06
1245890250 Baltimore Women's Psychological Services Clinic/Center - Adult Mental Health 4800 Roland Ave Ste 301, Baltimore, MD 21210-2347 2019-06-20
1326501073 Associated Catholic Charities, Inc. · Our Daily Bread Employment Center - Prp Clinic/Center - Adult Mental Health 725 Fallsway, Baltimore, MD 21202-4147 2019-04-10
1265999866 Integrity Health Services LLC Clinic/Center - Adult Mental Health 3455 Wilkens Ave Ste 203, Baltimore, MD 21229-5265 2019-03-01
Find all providers in BALTIMORE

Competitor

Search similar providers

City BALTIMORE
Zip Code 21209

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Dataset Information

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.