Jack J. Lesyk, PH.D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1050 Issued in OH

Legal business name

JACK J. LESYK, PH.D., INC.

Practice address

21625 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5363

Phone

(216) 575-6175

Fax

(216) 490-0155

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jack J. Lesyk, PH.D.

Title

President

Phone

(216) 575-6175

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1649263765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21625 CHAGRIN BLVD",
            "address_2": "SUITE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225363",
            "telephone_number": "216-575-6175",
            "fax_number": "216-490-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21625 CHAGRIN BLVD",
            "address_2": "SUITE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225363",
            "telephone_number": "216-575-6175",
            "fax_number": "216-490-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK J. LESYK, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LESYK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-575-6175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Isom, LPC
• Tetiana Iuryniuk
• Liudmyla Ivakhiv, QMHS-M
• Angela Marie Ivancic, LISW-S
• Izzeldin Izheman
• Jack Rzepka, M.D., Inc.
• Shawna Jackson Young, LCDC III, LISW
• Aisha Marie Jackson, SWA
• Arvesha Jackson, MSW, LISW
• Brandon Jackson

• Clinical Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.