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DR. JOHN LESO PH.D.
NPI 1053835785
Psychologist - Clinical in Mc Lean, VA

Active since August 03, 2017Opted out of Medicare · through Feb 11, 2028
6723 WHITTIER AVE, MC LEAN, VA 22101(703) 475-6478 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2022, Mar 17, 2018, Aug 3, 2017 (3 updates tracked since 2017).

About Dr. John Leso Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN LESO PH.D. (NPI 1053835785) is an individual clinical provider in Mc Lean, Virginia, licensed in Virginia (08100055555) and active in the NPI registry since August 2017. He has opted out of Medicare through February 11, 2028.

NPPES Registry Identity

NPI1053835785
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHN LESOCredential: PH.D.
Location Address6723 WHITTIER AVEMc Lean, VA 22101-4522
Mailing Address120 Homewood RdLinthicum, MD 21090-2604 · (202) 412-2970
Phone(703) 475-6478
Sole ProprietorYes
Enumeration DateAugust 3, 2017
Last NPPES UpdateJune 6, 20223 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1053835785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 08100055555
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 013429-1 (NY)
6723 WHITTIER AVE, Mc Lean, VA 22101
Open in Google Maps ↗

Other Identifiers 1

Other0810005555VA · Clinical Psychology License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Leso Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2022 through February 11, 2028.

Opt-Out Effective DateFebruary 11, 2022
Opt-Out In Effect ThroughFebruary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE HUSIK TEBOR PHD
Psychologist (Clinical)
6723 WHITTIER AVE, SUITE 405-C
MC LEAN, VA 22101
Fairfax County (703) 508-4836
DR. NORDINE GAUGAU M.D.
Radiology (Diagnostic Radiology)
6723 WHITTIER AVE, STE 306
MC LEAN, VA 22101
Fairfax County (703) 891-3147
DR. ANNA MARIA LUCCA PH.D.
Psychologist (Clinical)
6723 WHITTIER AVE, SUITE 207
MC LEAN, VA 22101
Fairfax County (703) 475-6478
MS. CARMEN GALVAN VAUGHAN LCSW
Social Worker (Clinical)
6723 WHITTIER AVE, SUITE 405B
MCLEAN, VA 22101
Fairfax County (703) 790-5139
DR. LORI BRISTOW PH.D.
Psychologist
6723 WHITTIER AVE, SUITE 206
MC LEAN, VA 22101
Fairfax County (703) 477-0692
IMAGE GUIDED SURGERY CENTER, LLC
Radiology (Vascular & Interventional Radiology)
6723 WHITTIER AVE
MC LEAN, VA 22101
Fairfax County (719) 955-9128
DR. DOUGLAS ALAN TEBOR M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6723 WHITTIER AVE, SUITE 405-C
MCLEAN, VA 22101
Fairfax County (703) 908-9230
DR. VIVIAN ALLISON SHELTON PSY.D.
Psychologist (Clinical)
6723 WHITTIER AVE, SUITE 207
MC LEAN, VA 22101
Fairfax County (703) 475-6478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Leso's NPI number?

The NPI number for John Leso is 1053835785. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is John Leso located?

John Leso practices at 6723 Whittier Ave, Mc Lean, VA 22101. The listed phone number is (703) 475-6478.

What is John Leso's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Leso enrolled in Medicare?

No. John Leso has opted out of Medicare through February 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Leso was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.