Individual provider Active NPI

Michael John Lelwica, PSY.D.

  • Clinical Psychologist
  • Ames, IA
National Provider Identifier
1083694848
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00870 Issued in IA
Practice address
3600 Lincoln Way
Suite 4
Ames, IA 50014-7595
Phone
(515) 239-4410
Fax
(515) 663-4885
NPI assigned
Jan 18, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00870 IA Primary

Addresses

Primary practice location

3600 Lincoln Way
Suite 4
Ames, IA 50014-7595

Mailing address

1314 42ND St
Des Moines, IA 50311-2529
Phone (515) 279-0830

Other identifiers 1

IdentifierTypeStateIssuer
33400OtherIABLUE SHIELD OF IOWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000881 IA Practitioner - Clinical Psychologist 1153313507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ames Counseling and Psychological Services PCGroup PAC ID 8921090374, 9 clinicians

Practice addresses (Care Compare)

3600 Lincoln Way
Suite 4
Ames, IA 50014-7595
Phone (515) 239-4410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00870IAMDObstetrics & Gynecology Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083694848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 42ND ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503112529",
            "telephone_number": "515-279-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY",
            "address_2": "SUITE 4",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4410",
            "fax_number": "515-663-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELWICA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IOWA",
            "identifier": "33400",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.