Individual provider Active NPI

Kathryn Lesko, P.H.D.

  • Psychologist
  • New Haven, CT
National Provider Identifier
1780124909
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
003536 Issued in CT
Practice address
35 Elm St
Suite 1RB
New Haven, CT 06510-2023
Phone
(203) 321-3756
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 003536 CT Primary

Addresses

Primary practice location

35 Elm St
Suite 1RB
New Haven, CT 06510-2023

Mailing address

35 Elm St
Suite 1RB
New Haven, CT 06510-2023
Phone (203) 321-3756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

436 Orange St
Apt 1
New Haven, CT 06511-6402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3536CTMDProfessional Counselor
003536CTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1780124909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ELM ST",
            "address_2": "SUITE 1RB",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102023",
            "telephone_number": "203-321-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ELM ST",
            "address_2": "SUITE 1RB",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102023",
            "telephone_number": "203-321-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKO",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "P.H.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "003536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.