Active NPI
John C. Lychak, M.D.,P.C.
- Psychiatry Physician
- Bethlehem, PA
National Provider Identifier
1851417315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD023301L
- Legal business name
- JOHN C. LYCHAK, M.D.,P.C.
- Practice address
- 35 E Elizabeth Ave Ste 21
Bethlehem, PA 18018-6505 - Phone
- (610) 865-5775
- Fax
- (610) 865-3955
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Charles Lychak, M.D.
- Title
- President
- Phone
- (610) 865-5775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD023301L | PA | Primary |
Addresses
Primary practice location
35 E Elizabeth Ave Ste 21
Bethlehem, PA 18018-6505
Mailing address
35 E Elizabeth Ave Ste 21
Bethlehem, PA 18018-6505
Phone (610) 865-5775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03104600 | Other | PA | LEGACY ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851417315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E ELIZABETH AVE STE 21",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180186505",
"telephone_number": "610-865-5775",
"fax_number": "610-865-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E ELIZABETH AVE STE 21",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180186505",
"telephone_number": "610-865-5775",
"fax_number": "610-865-3955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C. LYCHAK, M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LYCHAK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-865-5775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD023301L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEGACY ID",
"identifier": "03104600",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.