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DR. LEANNA BRISSON PSYD
NPI 1427526235
Psychologist - Clinical in Baltimore, MD

Active since November 09, 2018Opted out of Medicare · through Mar 19, 2027
4501 N CHARLES ST, BALTIMORE, MD 21210(410) 929-6544 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 3, 2023, Nov 27, 2018, Nov 9, 2018 (3 updates tracked since 2018).

About Dr. Leanna Brisson Psyd NPPES

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

DR. LEANNA BRISSON PSYD (NPI 1427526235) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (06816) and active in the NPI registry since November 2018. She has opted out of Medicare through March 19, 2027.

NPPES Registry Identity

NPI1427526235
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LEANNA BRISSONCredential: PSYD
Location Address4501 N CHARLES STBaltimore, MD 21210-2601
Mailing Address4501 N Charles StBaltimore, MD 21210-2601
Phone(410) 929-6544
Sole ProprietorNo
Enumeration DateNovember 9, 2018
Last NPPES UpdateFebruary 3, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
✔ NPI 1427526235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 06816
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4501 N CHARLES ST, Baltimore, MD 21210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Leanna Brisson Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2025 through March 19, 2027.

Opt-Out Effective DateMarch 19, 2025
Opt-Out In Effect ThroughMarch 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

MISS KATHLEEN MARIE TAMBERRINO ATC
Specialist/Technologist (Athletic Trainer)
4501 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (434) 544-8649
DR. AARON TYLOR BARNES PSYD
Psychologist
4501 N CHARLES ST, COUNSELING CENTER, HU150
BALTIMORE, MD 21210
Baltimore City (443) 990-1758
DR. AMANDA MCCOMBS THOMAS PH.D.
Psychologist (Clinical Child & Adolescent)
4501 N CHARLES ST, LOYOLA COLLEGE, LOYOLA CLINICAL CENTERS
BALTIMORE, MD 21210
Baltimore City (410) 617-2796
MS. ALLISON PEARLMAN SAX LCSW-C
Social Worker (Clinical)
4501 N CHARLES ST, CTW002I
BALTIMORE, MD 21210
Baltimore City (410) 617-2331
MADELYN LEIGH CAVANAUGH AT
Specialist/Technologist (Athletic Trainer)
4501 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (240) 315-6955
DR. JASON M PRENOVEAU PH.D.
Psychologist (Clinical)
4501 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 617-5240
MR. STEPHEN E AUSTIN MED, LAT, ATC
Specialist/Technologist (Athletic Trainer)
4501 N CHARLES ST, ATHLETICS, M130
BALTIMORE, MD 21210
Baltimore City (410) 617-5276
DR. RYAN SAPPINGTON PHD
Psychologist (Counseling)
4501 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (443) 455-1106

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 Leanna Brisson's NPI number?

The NPI number for Leanna Brisson is 1427526235. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Leanna Brisson located?

Leanna Brisson practices at 4501 N Charles St, Baltimore, MD 21210. The listed phone number is (410) 929-6544.

What is Leanna Brisson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Leanna Brisson enrolled in Medicare?

No. Leanna Brisson has opted out of Medicare through March 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Leanna Brisson was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.