Active NPI
J. Doris Lebischak, M.D.
- Child & Adolescent Psychiatry Physician
- Chesterbrook, PA
National Provider Identifier
1770569287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD039935L
- Practice address
- 12 Painters LN
Chesterbrook, PA 19087-5504 - Phone
- (610) 651-0993
- Fax
- (610) 651-0993
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | MD039935L | PA | |
| Psychiatry Physician | 2084P0800X | MD039935L | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD039935L | PA | Primary |
Addresses
Primary practice location
12 Painters LN
Chesterbrook, PA 19087-5504
Mailing address
12 Painters LN
Chesterbrook, PA 19087-5504
Phone (610) 651-0993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7501230 | Medicaid | PA |
Other names 1
- Doris Lebischak
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD039935L | PA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1770569287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PAINTERS LN",
"city": "CHESTERBROOK",
"state": "PA",
"postal_code": "190875504",
"telephone_number": "610-651-0993",
"fax_number": "610-651-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PAINTERS LN",
"city": "CHESTERBROOK",
"state": "PA",
"postal_code": "190875504",
"telephone_number": "610-651-0993",
"fax_number": "610-651-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBISCHAK",
"first_name": "J.",
"middle_name": "DORIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "PA",
"license": "MD039935L",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD039935L",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD039935L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7501230",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DORIS",
"last_name": "LEBISCHAK",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chesterbrook, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.