John Leso, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

08100055555 Issued in VA

Practice address

6723 Whittier Ave
MC Lean, VA 22101-4522

Phone

(703) 475-6478

NPI assigned

Aug 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 11, 2022 through Feb 11, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Parkhurst Associates MHS, Inc.

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1558625269
  NPD (past)

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1053835785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOMEWOOD RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902604",
            "telephone_number": "202-412-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 WHITTIER AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014522",
            "telephone_number": "703-475-6478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 S St NW Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200096107",
            "country_code": "US",
            "telephone_number": "202-234-7738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013429-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "08100055555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGY LICENSE",
            "identifier": "0810005555",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Leitten, PA-C
• Madison Renee Lemarr, DO
• Kathryn A. Lemmerman, M.D.
• Peter D Lenard, M.D.
• Vitalena Jennie Leon
• Bruce Edward Lessin, M.D.
• Elisabeth Levi
• Fernanda Gurgel Levine, DDS
• Paul Edward Levine, DDS
• Beulah Levy, MSW#

• Clinical Psychologist in McLean, VA
• Providers in McLean, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.