Active NPI
Barry Lessin
- Psychologist
- Fort Washington, PA
National Provider Identifier
1073652269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS005657L
- Practice address
- 1244 Fort Washington Ave
Suite E
Fort Washington, PA 19034-1743 - Phone
- (215) 793-9404
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS005657L | PA | Primary |
Addresses
Primary practice location
1244 Fort Washington Ave
Suite E
Fort Washington, PA 19034-1743
Mailing address
1244 Fort Washington Ave
Suite E
Fort Washington, PA 19034-1743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0560115000 | Other | PA | PERSONAL CHOICE |
| 5607330 | Other | PA | AETNA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS005657L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073652269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1244 FORT WASHINGTON AVE",
"address_2": "SUITE E",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 FORT WASHINGTON AVE",
"address_2": "SUITE E",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341743",
"telephone_number": "215-793-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSIN",
"first_name": "BARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS005657L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0560115000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5607330",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.