Individual provider Active NPI

Kathryn Leskis, PHD

  • Psychologist
  • Champaign, IL
National Provider Identifier
1023200326
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071007311 Issued in IL
Practice address
301 N Neil St Ste 210
Champaign, IL 61820-3166
Phone
(217) 244-4597
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071007311 IL Primary

Addresses

Primary practice location

301 N Neil St Ste 210
Champaign, IL 61820-3166

Mailing address

301 N Neil St Ste 210
Champaign, IL 61820-3166
Phone (217) 244-4597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071007311ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois Psychologist CurrentSince Mar 21, 2021 Accepting new patients

Locations

301 N Neil St
Ste 210
Champaign, IL 61820
Phone (217) 244-4597

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1023200326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N NEIL ST STE 210",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203166",
            "telephone_number": "217-244-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N NEIL ST STE 210",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203166",
            "telephone_number": "217-244-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKIS",
        "first_name": "KATHRYN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071007311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.