Active NPI
Noelle J Lee, PSY.D
- Psychologist
- Fullerton, CA
National Provider Identifier
1093092462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 26025
- Practice address
- 2050 Youth Way
Fullerton, CA 92835-3819 - Phone
- (714) 871-9264
- NPI assigned
- Nov 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 26025 | CA | Primary |
Addresses
Primary practice location
2050 Youth Way
Fullerton, CA 92835-3819
Mailing address
78 Windjammer
Irvine, CA 92614-7439
Phone (323) 219-3303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623002991 | CA | Practitioner - Clinical Psychologist | 6901117589 | Practice locations: Newport Beach, CA; Orange Office, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4425 Jamboree Rd
Suite 181
Newport Beach, CA 92660-3024
Phone (949) 385-1296
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1093092462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 WINDJAMMER",
"city": "IRVINE",
"state": "CA",
"postal_code": "926147439",
"telephone_number": "323-219-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 YOUTH WAY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353819",
"telephone_number": "714-871-9264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NOELLE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-13",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "26025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.