Individual provider Active NPI

Patricia Ellen Patton, PHD

  • Clinical Psychologist
  • Rancho Mirage, CA
National Provider Identifier
1104964311
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13266 Issued in CA
Practice address
471 Sunningdale Dr
Rancho Mirage, CA 92270-1445
Phone
(661) 733-5355
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC27419 CA
Clinical Psychologist 103TC0700X PSY13266 CA Primary

Addresses

Primary practice location

471 Sunningdale Dr
Rancho Mirage, CA 92270-1445

Mailing address

72877 Dinah Shore Dr Ste 103
Rancho Mirage, CA 92270-2709
Phone (661) 733-5355

Other identifiers 2

IdentifierTypeStateIssuer
MFC27419OtherCABOARD OF BEHAVIORAL SCIEN
PSY13266OtherCABOARD OF PSYCHOLOGY LCP

Other names 1

  • Mrs. Paticia Ellen Patton Lehn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC27419CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1104964311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72877 DINAH SHORE DR STE 103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702709",
            "telephone_number": "661-733-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 SUNNINGDALE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701445",
            "telephone_number": "661-733-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "PATRICIA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC27419",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIEN",
            "identifier": "MFC27419",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY LCP",
            "identifier": "PSY13266",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATICIA",
            "last_name": "PATTON LEHN",
            "middle_name": "ELLEN",
            "prefix": "MRS.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.