Brian B Lehky PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301010367 Issued in MI

Legal business name

BRIAN B LEHKY PHD PC

Practice address

2202 Mitchell Park Dr
Unit 5
Petoskey, MI 49770-8897

Phone

(231) 439-5299

Fax

(231) 439-5272

NPI assigned

Mar 25, 2011

Last updated

Dec 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian B Lehky, PHDNPI 1528113826

Title

Clinical Psychologist; Owner; Presi

Phone

(231) 439-5299

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian B Lehky, PH.D.

  • Clinical Psychologist
  • Petoskey, MI
  • NPI 1528113826
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1801195102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 MITCHELL PARK DR",
            "address_2": "UNIT 5",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708897",
            "telephone_number": "231-439-5299",
            "fax_number": "231-439-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MITCHELL PARK DR",
            "address_2": "UNIT 5",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708897",
            "telephone_number": "231-439-5299",
            "fax_number": "231-439-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN B LEHKY PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "LEHKY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST; OWNER; PRESI",
        "authorized_official_telephone_number": "231-439-5299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "OM97520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Braendle
• Linda Brant, RN
• Margaret M. Brazones, D.D.S., M.S.
• Breath of Life Chiropractic Wellness Center P.C.
• Lois Christine Brewer
• Brian D Wittenberg
• Brian D Wittenberg MD PC
• Andrea Leigh Bricker, FNP
• Bethenie Lynn Briggs, MS
• Mark Briggs, CPRC

• Clinical Psychologist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.