Individual provider Active NPI

Katarzyna Lesniak, PSY.D

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1518458538
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009738 Issued in IL
Practice address
3022 N Harlem Ave
Chicago, IL 60634-4786
Phone
(708) 710-8819
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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 071.009738 IL Primary

Addresses

Primary practice location

3022 N Harlem Ave
Chicago, IL 60634-4786

Mailing address

3022 N Harlem Ave
Chicago, IL 60634-4786
Phone (708) 710-8819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20180806000604 IL Practitioner - Clinical Psychologist 9133477375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wegierek Psychology Center, Inc.Group PAC ID 2769494020, 3 clinicians

Practice addresses (Care Compare)

3022 N Harlem Ave
Suite 1N
Chicago, IL 60634-4791
Phone (708) 710-8819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009738ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wegierek Psychology Center, Inc Clinical CurrentSince Jul 1, 2018 Accepting new patients

Locations

3022 N Harlem Ave
Ste 1N
Chicago, IL 60634
Phone (708) 710-8819

7620 W 159th St
Orland Park, IL 60462
Phone (708) 710-8819

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1518458538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344786",
            "telephone_number": "708-710-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344786",
            "telephone_number": "708-710-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNIAK",
        "first_name": "KATARZYNA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.