Individual provider Active NPI

Lee Ann Annotti, PH.D.

  • Clinical Psychologist
  • Ponte Vedra, FL
National Provider Identifier
1114354586
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12120 Issued in FL
Practice address
3204 Sawgrass Village Cir
Ponte Vedra, FL 32082-5039
Phone
(904) 572-1573
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY12120 FL Primary

Addresses

Primary practice location

3204 Sawgrass Village Cir
Ponte Vedra, FL 32082-5039

Mailing address

3204 Sawgrass Village Cir
Ponte Vedra, FL 32082-5039
Phone (904) 572-1573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191221000512 LA Practitioner - Clinical Psychologist 6406280627 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY12120FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Oct 14, 2019 Accepting new patients
Milestones Child Psychology CurrentSince Aug 10, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 14, 2019 Accepting new patients
Baptist Behavioral Health, LLC CurrentSince Feb 12, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

302 3rd St
Ste 3
Neptune Beach, FL 32266
Phone (904) 241-0666

3204 Sawgrass Village Cir
Ponte Vedra Beach, FL 32082
Phone (904) 572-1573

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1114354586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 SAWGRASS VILLAGE CIR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825039",
            "telephone_number": "904-572-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 SAWGRASS VILLAGE CIR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825039",
            "telephone_number": "904-572-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNOTTI",
        "first_name": "LEE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

Verify at the official NPI Registry.