Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Lesniak

Individual provider Clinical Psychologist · NPI 1124546346

Cody Lesniak is a Clinical Psychologist in San Jose, California. Qualified in 2024, 2 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

5755 Cottle Rd
San Jose, CA 95123-3640
Phone: (983) 201-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY36223 (CA)

Record details

NPI number1124546346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address5805 Charlotte Dr Apt 401, San Jose, CA 95123-6917

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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