Active NPI
Jamie Nicole Flack Lesser, PSY.D.
- Clinical Psychologist
- Newport Beach, CA
National Provider Identifier
1629356530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27041
- Practice address
- 1500 Quail St Ste 250
Newport Beach, CA 92660-2734 - Phone
- (949) 222-2848
- NPI assigned
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PSY27041 | CA | Primary |
Addresses
Primary practice location
1500 Quail St Ste 250
Newport Beach, CA 92660-2734
Mailing address
1500 Quail St Ste 250
Newport Beach, CA 92660-2734
Phone (949) 222-2848
Other names 1
- Dr. Jamie Nicole Flack
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 |
|---|---|---|---|
| PSY27041 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JLM Psychological Services, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport Beach, CA
- NPI 1003482423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629356530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 QUAIL ST STE 250",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602734",
"telephone_number": "949-222-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 QUAIL ST STE 250",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602734",
"telephone_number": "949-222-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSER",
"first_name": "JAMIE",
"middle_name": "NICOLE FLACK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "FLACK",
"middle_name": "NICOLE",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.