DR. LESIA MALKO TRICKETT (NPI# 1104003565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104003565 |
| Entity Type | Individual |
| Full Name | DR. LESIA MALKO TRICKETT |
| Credential | M.D. |
| Practice Address |
3901 Greenspring Ave Baltimore MD 21211-1353 |
| Practice Telephone | 4439235932 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0074177 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
3901 GREENSPRING AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194767491 | Roma Vasa | Psychiatry & Neurology | 3901 Greenspring Ave, Kennedy Krieger Institute, Deptartment of Psychiatry, Baltimore, MD 21211 | 2006-06-12 |
| 1255930723 | Erin Musgrove | Speech-Language Pathologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2020-10-25 |
| 1730705674 | Maura Collins | Student in an Organized Health Care Education/Training Program | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2020-06-16 |
| 1609401280 | Christine Reiner Hess | Psychologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2020-03-04 |
| 1063069805 | Rachel Reetzke | Speech-Language Pathologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2019-08-26 |
| 1881249860 | Lauramarie Pope | Speech-Language Pathologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2019-08-06 |
| 1750867586 | Nivoariliana Ramy Rabe | Behavior Technician | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2018-07-15 |
| 1902232291 | Kelly Anne Sheperd Riolo | Psychologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2013-09-19 |
| 1639514771 | Megan Myatt | Speech-Language Pathologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2013-05-02 |
| 1982948543 | Chana Richter | Pediatrics | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2012-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
| 1639366032 | Joseph S Bierman | Psychiatry & Neurology | 2 Olmstead Green Ct, Baltimore, MD 21210-1508 | 2007-09-28 |
| 1790905826 | Carla Stephanie Brown | Psychiatry & Neurology | 6501 N Charles Street, Baltimore, MD 21285-6815 | 2007-04-30 |
| 1093861221 | Evanne Loh Hoehn-saric | Psychiatry & Neurology | 2700 Washington Ave, Baltimore, MD 21227-3115 | 2007-01-29 |
| 1194767491 | Roma Vasa | Psychiatry & Neurology | 3901 Greenspring Ave, Kennedy Krieger Institute, Deptartment of Psychiatry, Baltimore, MD 21211 | 2006-06-12 |
| 1639701956 | Johns Hopkins Bayview Medical Center, Inc. | Psychiatry & Neurology | 5500 E Lombard St Rm 1025, Baltimore, MD 21224-1731 | 2020-02-05 |
| 1265951404 | Faye Park | Psychiatry & Neurology | 716 N Broadway, Baltimore, MD 21205-1806 | 2017-09-19 |
| 1245625318 | Raheela Sultan | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 | 2015-04-05 |
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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.