Active NPI
Elizabeth Lee, PSY.D.
- Psychologist
- Santa Cruz, CA
National Provider Identifier
1114763265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY13570
- Practice address
- 501 Mission St Ste 2C
Santa Cruz, CA 95060-3652 - Phone
- (831) 459-7301
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY13570 | CA | Primary |
Addresses
Primary practice location
501 Mission St Ste 2C
Santa Cruz, CA 95060-3652
Mailing address
501 Mission St Ste 2C
Santa Cruz, CA 95060-3652
Phone (831) 459-7301
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY13570 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1114763265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MISSION ST STE 2C",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603652",
"telephone_number": "831-459-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MISSION ST STE 2C",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603652",
"telephone_number": "831-459-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY13570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.