DR. MARISSA LESLIE M.D.
NPI 1417039975
Psychiatry & Neurology - Child & Adolescent Psychiatry in Rockville, MD

Q: What is Marissa Leslie's NPI number?

The NPI number for Marissa Leslie is 1417039975. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Marissa Leslie MD.

Q: What is Marissa Leslie's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Leslie was last updated on April 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 20, 2006PECOS Enrolled

14915 BROSCHART RD, SUITE 2100, ROCKVILLE, MD 20850(301) 838-4912(301) 251-4666 Get Directions Write a Review

NPPES record last updated: April 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Marissa Leslie M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARISSA LESLIE M.D. (NPI 1417039975) is an individual child & adolescent psychiatry provider in Rockville, Maryland, licensed in Pennsylvania (MD426645) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417039975

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. MARISSA LESLIECredential: M.D.

Location Address14915 BROSCHART RD, SUITE 2100Rockville, MD 20850-3350

Mailing Address14915 Broschart Road, Suite 2100Rockville, MD 20850 · (301) 315-3826 · Fax (301) 251-4666

Phone(301) 838-4912

Fax(301) 251-4666

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateApril 11, 2014

✔ NPI 1417039975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in PA · MD426645

Definition

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.

14915 BROSCHART RD, Rockville, MD 20850

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Other Names 1

Former Name (1)Marissa Leslie Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marissa Leslie M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY CARLSON ECKSTEIN LCSW-C, LCSW, PMH-C

Social Worker (Clinical)

14915 BROSCHART RD
ROCKVILLE, MD 20850

Montgomery County (301) 838-4912

MR. JONATHAN SIROTA WEINBERG LCSW-C

Social Worker (Clinical)

14915 BROSCHART RD
ROCKVILLE, MD 20850

Montgomery County (301) 251-4592

HERNAN ALVAREZ CORDANO SR.

Counselor (Mental Health)

14915 BROSCHART RD
ROCKVILLE, MD 20850

Montgomery County (301) 838-4912

SONYA NEDA KAVEH MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

14915 BROSCHART RD, SUITE 2200
ROCKVILLE, MD 20850

Montgomery County (301) 838-4912

ADVENTIST PHYSICIAN SERVICES, INC.

Social Worker (Clinical)

14915 BROSCHART RD
ROCKVILLE, MD 20850

Montgomery County (301) 838-4912

ADVENTIST PHYSICIAN SERVICES, INC

Social Worker (Clinical)

14915 BROSCHART RD
ROCKVILLE, MD 20850

Montgomery County (301) 828-4912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Leslie's NPI number?

The NPI number for Marissa Leslie is 1417039975. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Marissa Leslie MD.

Where is Marissa Leslie located?

Marissa Leslie practices at 14915 Broschart Rd Suite 2100, Rockville, MD 20850. The listed phone number is (301) 838-4912.

What is Marissa Leslie's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Marissa Leslie enrolled in Medicare?

Yes. Marissa Leslie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Leslie was last updated on April 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.