Individual provider Active NPI

Katarzyna Lesniak-Karpiak, PH.D.

  • Clinical Neuropsychologist
  • Douglassville, PA
National Provider Identifier
1801877600
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSO15548 Issued in PA
Practice address
39 Old Swede Rd
Suite C
Douglassville, PA 19518-1852
Phone
(484) 686-5582
Fax
(610) 689-0261
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSO15548 PA Primary

Addresses

Primary practice location

39 Old Swede Rd
Suite C
Douglassville, PA 19518-1852

Mailing address

104 Indian Run Dr
Douglassville, PA 19518-8988
Phone (484) 686-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060419000136 PA Practitioner - Clinical Psychologist 9335154871 Practice locations: Wyomissing, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Park PLZ
Suite 302
Wyomissing, PA 19610-1398
Phone (484) 686-5582

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSO15548PAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elderly Care Counseling Services LLC Past Accepting new patients

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1801877600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 INDIAN RUN DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195188988",
            "telephone_number": "484-686-5582",
            "fax_number": "610-689-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 OLD SWEDE RD",
            "address_2": "SUITE C",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181852",
            "telephone_number": "484-686-5582",
            "fax_number": "610-689-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNIAK-KARPIAK",
        "first_name": "KATARZYNA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PSO15548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglassville, PA

Sources for this page

Verify at the official NPI Registry.