Individual provider Active NPI

Lalitha Subramanian, PH.D

  • Clinical Child & Adolescent Psychologist
  • McKinney, TX
National Provider Identifier
1043000896
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
39449 Issued in TX
Practice address
5900 S Lake Forest Dr
McKinney, TX 75070-2193
Phone
(972) 645-3940
Fax
(972) 645-3941
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1876978 NY
School Psychologist 103TS0200X 1164271 NJ
Clinical Child & Adolescent Psychologist 103TC2200X 39449 TX Primary
Clinical Psychologist 103TC0700X A39840 ZZ
School Psychologist 103TS0200X 72901 TX

Addresses

Primary practice location

5900 S Lake Forest Dr
McKinney, TX 75070-2193

Mailing address

11208 Geranium Dr
Frisco, TX 75035-0844
Phone (214) 430-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A39840ZZMDClinical Psychologist
1164271NJMDSchool Psychologist
1876978NYMDSchool Psychologist
39449TXMDPharmacist
72901TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1043000896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11208 GERANIUM DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350844",
            "telephone_number": "214-430-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S LAKE FOREST DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702193",
            "telephone_number": "972-645-3940",
            "fax_number": "972-645-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "LALITHA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1876978",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": "1164271",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "39449",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ZZ",
            "license": "A39840",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "72901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.