Active NPI
Leryle Lawless, LEP
- School Psychologist
- Fresno, CA
National Provider Identifier
1346885977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3894
- Practice address
- 1398 W Indianapolis Ave Ste 101
Fresno, CA 93705-0300 - Phone
- (559) 898-2227
- NPI assigned
- Nov 7, 2019
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3894 | CA | Primary |
Addresses
Primary practice location
1398 W Indianapolis Ave Ste 101
Fresno, CA 93705-0300
Mailing address
4332 Redrock Dr
Madera, CA 93636-8007
Phone (559) 917-9050
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 |
|---|---|---|---|
| 3894 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1346885977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4332 REDROCK DR",
"city": "MADERA",
"state": "CA",
"postal_code": "936368007",
"telephone_number": "559-917-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 W INDIANAPOLIS AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937050300",
"telephone_number": "559-898-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLESS",
"first_name": "LERYLE",
"credential": "LEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "CA",
"license": "3894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.