Provider Demographics
NPI:1801027578
Name:LEANY, BRIAN DOUGLAS (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DOUGLAS
Last Name:LEANY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2785 SKYLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5157
Mailing Address - Country:US
Mailing Address - Phone:775-225-2525
Mailing Address - Fax:
Practice Address - Street 1:505 S ARLINGTON AVE
Practice Address - Street 2:# 212-C
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1527
Practice Address - Country:US
Practice Address - Phone:775-225-2525
Practice Address - Fax:775-225-2525
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24361103T00000X, 103G00000X, 103TC0700X, 103TC2200X, 103TB0200X, 103TF0200X, 103TP2701X
NVPY0637103T00000X, 103G00000X, 103TC0700X, 103TC2200X, 103TB0200X, 103TF0200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy