Lee H Pickett, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY22305 Issued in CA

Practice address

300 Prison Rd
FSP MH Clinic
Represa, CA 95671-3001

Phone

(916) 965-2561

NPI assigned

Jan 8, 2008

Last updated

Mar 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Spangler PHD IncGroup PAC ID 6305096074, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• David Spangler PHD Inc

  • Clinical Neuropsychologist
  • Roseville, CA
  • NPI 1306195094
  Medicare reassignment Care Compare group NPD
• Genesis Rehabilitation Hospital, Inc.

  dba Brooks Rehabilitation

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1912947748
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1194900241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MARBLE CANYON DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307114",
            "telephone_number": "916-897-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PRISON RD",
            "address_2": "FSP MH CLINIC",
            "city": "REPRESA",
            "state": "CA",
            "postal_code": "956713001",
            "telephone_number": "916-965-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "LEE",
        "middle_name": "H",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changsu Park, D. D. S.
• Hilary Elizabeth Parsons, DDS
• Brittany Raquel Patterson, PSYD
• Valerie Jean Pearson-Bryant, MSW, ASW
• Kathryn Eilene Peters, PHARM D.
• Luis Gabriel Pizano-Martinez, LCSW
• Renata Pleshchuk Kowalski, PHD
• Sangita Prasad, PSYD
• Catherine Jane Prudhomme, PH.D.
• Muhammad S Quidwai, MD

• Psychologist in Represa, CA
• Providers in Represa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.

Verify at the official NPI Registry.