Individual provider Active NPI

Dorothy Thorne Lekarczyk, PH.D.

  • Clinical Psychologist
  • Dade City, FL
National Provider Identifier
1477681484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2386 Issued in FL
Practice address
38104 Meridian Ave
Dade City, FL 33525-3838
Phone
(352) 567-6700
Fax
(352) 567-6700
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PY2386 FL Primary

Addresses

Primary practice location

38104 Meridian Ave
Dade City, FL 33525-3838

Mailing address

38104 Meridian Ave
Dade City, FL 33525-3838
Phone (352) 567-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20101115000042 FL Practitioner - Clinical Psychologist 8224223441 Practice locations: Dade City, FL

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477681484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38104 MERIDIAN AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335253838",
            "telephone_number": "352-567-6700",
            "fax_number": "352-567-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38104 MERIDIAN AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335253838",
            "telephone_number": "352-567-6700",
            "fax_number": "352-567-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKARCZYK",
        "first_name": "DOROTHY",
        "middle_name": "THORNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.