Individual provider Active NPI

Stanley P Lelek, PSY D

  • Psychologist
  • Valparaiso, IN
National Provider Identifier
1699793315
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040005 Issued in IN
Practice address
2503 Chicago St Ste F
Valparaiso, IN 46383-5863
Phone
(219) 464-4195
Fax
(219) 464-4195
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO14 IN
Psychologist 103T00000X 20040005 IN Primary

Addresses

Primary practice location

2503 Chicago St Ste F
Valparaiso, IN 46383-5863

Mailing address

2503 Chicago St Ste F
Valparaiso, IN 46383-5863
Phone (219) 464-4195

Other identifiers 2

IdentifierTypeStateIssuer
100209720AMedicaidIN
000000213402OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101214001208 IN Practitioner - Clinical Psychologist 5294922399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2503 Chicago St
Suite F
Valparaiso, IN 46383-5863
Phone (219) 464-4195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO14INMDAddiction (Substance Use Disorder) Counselor
20040005INMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stan Lelek P.C. CurrentSince Jan 1, 2001 Accepting new patients

Locations

2503 Chicago St
Ste F
Valparaiso, IN 46383
Phone (219) 464-4195

8 Morgan Blvd
Valparaiso, IN 46383
Phone (219) 464-9495

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1699793315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 CHICAGO ST STE F",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835863",
            "telephone_number": "219-464-4195",
            "fax_number": "219-464-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 CHICAGO ST STE F",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835863",
            "telephone_number": "219-464-4195",
            "fax_number": "219-464-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELEK",
        "first_name": "STANLEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "CO14",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100209720A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000213402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.