IndividualActive
Leon Sturdivant, ED.D.
NPI 1215106984 · Psychiatric Residential Treatment Facility · Greensboro, NC
Provider details
- NPI number
- 1215106984
- Entity type
- Individual
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Credential
- ED.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MHL041732 (NC)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
808 Mystic Dr
Greensboro, NC 27406-5726
Phone: (336) 854-1718
Fax: (336) 854-1718
Street-level locationGet directions
Mailing address
2501 Donlora Dr
Greensboro, NC 27407-6015
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2026-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.