DR. LESLIE MCCOY CONROY (NPI# 1225056443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225056443 |
Entity Type | Individual |
Full Name | DR. LESLIE MCCOY CONROY |
Credential | M.D. |
Practice Address |
86 Lake St Burlington VT 05401-5297 |
Practice Telephone | 8028653450 |
Mailing Telephone | 8028653450 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0420008457 | VT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | OVN 0318 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639435092 | Leslie Ann Schornack Conroy | Anesthesiology | 1444 Peterman Dr, Alexandria, LA 71301-3432 | 2012-04-10 |
Street Address |
86 LAKE ST |
City | BURLINGTON |
State | VT |
Zip Code | 05401-5297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225025588 | Barbara Jean Benton | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2005-10-03 |
1356988828 | Jennifer Brennan, Aprn, Pllc | Nurse Practitioner | 86 Lake St, Burlington, VT 05401-5297 | 2019-12-04 |
1821515685 | Amy Siegel Licsw LLC | Social Worker | 86 Lake St, Burlington, VT 05401-5297 | 2017-08-23 |
1851848204 | Jessica Webster | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2016-09-01 |
1750751624 | Chanon Watters | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2015-10-04 |
1023414109 | Kendra Marceau | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2014-11-17 |
1558612853 | Alexandrea Josephine Forward | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2012-09-26 |
1831457407 | Veena Raju | Psychiatry & Neurology | 86 Lake St, Burlington, VT 05401-5297 | 2012-05-02 |
1871882282 | Francis Clinton Pasley | Psychiatry & Neurology | 86 Lake St, Burlington, VT 05401-5297 | 2011-04-06 |
1528365160 | Patrick B. Kinner | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2011-02-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
Find all providers in zip 05401 |
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 |
---|---|---|---|---|
1538362363 | Terrence Carter Bethea | Psychiatry & Neurology | 2054 Glenkirk Dr, Burlington, NC 27215-9441 | 2007-06-08 |
1649698911 | Haley Mcgowan | Psychiatry & Neurology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-04-02 |
1134495286 | Qiang Zeng | Psychiatry & Neurology | 20 Wall St, Burlington, MA 01803-4758 | 2012-03-22 |
1144529611 | Margaret Spottswood | Psychiatry & Neurology | 617 Riverside Ave, Burlington, VT 05401-1601 | 2011-03-22 |
1407046501 | Katherine E Grimes | Psychiatry & Neurology | 20 Wall Street, Hvma Atrius Health, Burlington, MA 01803-4758 | 2007-07-26 |
1235250499 | Jeanne Ellyn Greenblatt | Psychiatry & Neurology | 108 Cherry St, Burlington, VT 05401-4295 | 2007-04-03 |
1528154697 | John G Koutras | Psychiatry & Neurology | 1 S Prospect St, Burlington, VT 05401-3456 | 2006-10-05 |
1619068632 | James J Hudziak | Psychiatry & Neurology | 1 S Prospect St, Arnold 6, Burlington, VT 05401-3456 | 2006-09-27 |
1437161486 | David Charles Rettew | Psychiatry & Neurology | 1 S Prospect St, Arnold 6, Burlington, VT 05401-3456 | 2006-08-11 |
1821019019 | Loren Dribinsky | Psychiatry & Neurology | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2006-07-22 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 05401 |
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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.