DR. ROSEANNE SARAH LESACK PHD
NPI 1770853137
Psychologist in Atlanta, GA

Active since January 03, 2012PECOS Enrolled
1920 BRIARCLIFF RD NE, MARCUS AUTISM CENTER, ATLANTA, GA 30329(404) 785-9414 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Roseanne Sarah Lesack Phd NPPES

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

DR. ROSEANNE SARAH LESACK PHD (NPI 1770853137) is an individual psychologist in Atlanta, Georgia, licensed in Georgia (PSY003507) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770853137
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ROSEANNE SARAH LESACKCredential: PHD
Location Address1920 BRIARCLIFF RD NE, MARCUS AUTISM CENTERAtlanta, GA 30329-4010
Mailing Address1920 Briarcliff Rd Ne, Marcus Autism CenterAtlanta, GA 30329-4010 · (404) 785-9414
Sole ProprietorYes
Enumeration DateJanuary 3, 2012
NPI 1770853137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY003507
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1920 BRIARCLIFF RD NE, Atlanta, GA 30329

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Roseanne Sarah Lesack Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Social Worker (Clinical)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Psychologist (Clinical)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Psychologist (Clinical)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Registered Nurse
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Psychologist (Clinical)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Occupational Therapist
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329
Nurse Practitioner (Pediatrics)
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329

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 Roseanne Lesack's NPI number?

The NPI number for Roseanne Lesack is 1770853137. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is Roseanne Lesack located?

Roseanne Lesack practices at 1920 Briarcliff Rd NE Marcus Autism Center, Atlanta, GA 30329. The listed phone number is (404) 785-9414.

What is Roseanne Lesack's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Roseanne Lesack enrolled in Medicare?

Yes. Roseanne Lesack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roseanne Lesack was last updated on January 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.