DR. LESLEY THOMPSON BRODIE (NPI# 1720050552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720050552 |
| Entity Type | Individual |
| Full Name | DR. LESLEY THOMPSON BRODIE |
| Credential | M.D. |
| Practice Address |
82 Elm Street Manchester Center VT 05255 |
| 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 | 2006-02-06 |
| Last Update Date | 2016-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 57553361205 | UT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
042-0012150 | VT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
57553361205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
042-0012150 | VT | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
57553361205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1019286 | 05 |
| Street Address |
82 ELM STREET |
| City | MANCHESTER CENTER |
| State | VT |
| Zip Code | 05255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114347440 | Lesley Brodie, M.d., P.C. | Clinic/Center | 82 Elm Street, Manchester Center, VT 05255-9642 | 2014-04-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1932237294 | Genevieve Anne Williamson | Psychiatry & Neurology | 6393 Route 7, North Ferrisburgh, VT 05473-7122 | 2007-03-01 |
| 1023115599 | David Kirke Hedden | Psychiatry & Neurology | 708 Barstow Rd., Shelburne, VT 05482-6986 | 2006-09-19 |
| 1689787673 | Paul D. Boutin | Psychiatry & Neurology | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2006-08-16 |
| 1578528220 | Norton Garber | Psychiatry & Neurology | 227 Hickory Ridge Rd, Putney, VT 05346-8933 | 2006-04-18 |
| 1881099950 | Philip Laplante | Psychiatry & Neurology | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2014-10-30 |
| 1649698911 | Haley Mcgowan | Psychiatry & Neurology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-04-02 |
| 1396006698 | Robin K. Caron | Psychiatry & Neurology | Anna Marsh Lane, Brattleboro, VT 05302 | 2012-06-04 |
| 1386905032 | Alan Joseph Frascoia | Psychiatry & Neurology | 289 County Rd, Windsor, VT 05089-9000 | 2012-05-30 |
| 1407147564 | Milangel Thaymee Concepcion Zayas | Psychiatry & Neurology | 1 Anna Marsh Lane, Brattleboro Retreat- Anna Marsh Behavioral Care Clinic, Brattleboro, VT 05302 | 2011-04-25 |
| 1144529611 | Margaret Spottswood | Psychiatry & Neurology | 617 Riverside Ave, Burlington, VT 05401-1601 | 2011-03-22 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER CENTER |
| Zip Code | 05255 |
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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.