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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Marissa Leslie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Physician Services, Inc.
3.0 mi
Physical Medicine & Rehabilitation
820 WEST DIAMOND AVENUE
Gaithersburg, MD 20878
  • Reassigned Medicare billing, District of Columbia enrollment
  • 340 clinicians in this Medicare group
NPI 1376623207 (301) 315-3826

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Marissa Leslie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Leslie reassigns Medicare benefits to Adventist Physician Services, Inc. (Gaithersburg, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Leslie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.