Individual provider Active NPI

Rochelle Eun-a Lee-McNulty, PSY.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1144327834
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20664 Issued in CA
Practice address
142 Delmar St
San Francisco, CA 94117-4522
Phone
(818) 216-3040
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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 20664 CA Primary

Addresses

Primary practice location

142 Delmar St
San Francisco, CA 94117-4522

Mailing address

1309 Evans Ave
San Francisco, CA 94124-1705
Phone (415) 206-7618

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

LicenseStateTypeSpecialty
20664CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1144327834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 EVANS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241705",
            "telephone_number": "415-206-7618",
            "fax_number": "415-206-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 DELMAR ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941174522",
            "telephone_number": "818-216-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-MCNULTY",
        "first_name": "ROCHELLE",
        "middle_name": "EUN-A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.