LESLEY BRODIE, M.D., P.C. (NPI# 1114347440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114347440 |
| Entity Type | Organization |
| Organization Name | LESLEY BRODIE, M.D., P.C. |
| Practice Address |
82 Elm Street Manchester Center VT 05255-9642 |
| Mailing Address |
Po Box 766 Manchester VT 05254-0766 |
| Practice Telephone | 8023671068 |
| Practice Fax Number | 8023671069 |
| Mailing Telephone | 8023671068 |
| Mailing Fax Number | 8023671069 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| Authorized Official Name | DR. LESLEY THOMPSON BRODIE (OFFICER/MEMBER) |
| Authorized Official Telephone | 8023671068 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
042.0012150 | VT | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
042.0012150 | VT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1019286 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | LESLEY BRODIE, M.D., P.C. | 1164 West Road, Manchester, VT 05254 |
| Street Address |
82 ELM STREET |
| City | MANCHESTER CENTER |
| State | VT |
| Zip Code | 05255-9642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720050552 | Lesley Thompson Brodie | Pediatrics | 82 Elm Street, Manchester Center, VT 05255 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920031 | Dakota Malik | Naturopath | 5138 Main Sreet, Manchester Center, VT 05255 | 2020-10-21 |
| 1619502648 | Kathleen Baroody | Counselor | 5312 Main Steet, Manchester Center, VT 05255 | 2020-03-10 |
| 1255971917 | Katherine Alice Schlageter | Psychologist | 5429 Main Street, Office C-2, Manchester Center, VT 05255 | 2020-01-10 |
| 1316332075 | Green Mountain House Calls, LLC | Nurse Practitioner | 994 Dorset West Road, Dorset, VT 05255 | 2015-03-31 |
| 1962727826 | Tamra F Mooney | Occupational Therapist | 3511 Richville Rd, Manchester, VT 05255 | 2010-04-05 |
| 1760649214 | Eric R Nisenson | Durable Medical Equipment & Medical Supplies | 7252 Main Street, Manchester Center, VT 05255 | 2008-05-21 |
| 1659591774 | Manchester Eye Care PC | Technician/Technologist | Village Mall 4363 Rte 7a, Manchester Center, VT 05255 | 2007-04-30 |
| 1306979687 | Geoffry Lee Campe | Dentist | 107 Bonnet St, Manchester Center, VT 05255 | 2007-03-14 |
| 1316087828 | John Ottesen | Dentist | 74 Longview Drive, Manchester Center, VT 05255 | 2007-02-07 |
| 1568526226 | Catherine Cech | Dentist | 5271 Main Street, Manchester Ctr, VT 05255 | 2006-12-20 |
| Find all providers in zip 05255 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726098 | Washington County Mental Health Services, Inc. | Clinic/Center | 34 Barre St, Montpelier, VT 05602-3510 | 2020-07-06 |
| 1033543616 | Southern Vermont Therapeutic Riding Center | Clinic/Center | 336 River Rd, Newfane, VT 05345-9667 | 2013-08-30 |
| 1043372709 | Northeast Kingdom Human Services Inc | Clinic/Center | 181 Crawford Rd, Newport, VT 05855-6405 | 2006-12-15 |
| 1336767755 | Green Mountain Psychology Pllc | Clinic/Center | 29 Union Street, The Granary, First Floor, Brandon, VT 05733 | 2020-07-13 |
| 1841417292 | Health Care & Rehabilitation Services | Clinic/Center | 1 Hospital Ct, Suite 410, Bellows Falls, VT 05101-1489 | 2007-04-19 |
| 1699899187 | Northwestern Counseling & Support Services | Clinic/Center | 107 Fisher Pond Road, Saint Albans, VT 05478-6286 | 2007-03-19 |
| 1902930878 | Northeast Kingdom Human Services Inc Sbs | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
| 1043343700 | Northeast Kingdom Human Services Inc Mh Children | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-13 |
| City | MANCHESTER CENTER |
| Zip Code | 05255 |
Please comment or provide details below to improve the information on LESLEY BRODIE, M.D., P.C..
| 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.