Connected Lives Psychological Corp.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27801 Issued in CA

Legal business name

CONNECTED LIVES PSYCHOLOGICAL CORP.

Practice address

78 Ocean Ave
San Francisco, CA 94112-2549

Phone

(415) 846-7547

NPI assigned

Oct 11, 2017

Last updated

Oct 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suellen Lee, PH.D.NPI 1487800397

Title

Director

Phone

(416) 846-7547

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suellen Ming-Lin Lee, PH.D.

  • Psychologist
  • San Francisco, CA
  • NPI 1487800397
  NPD (past) Authorized official

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1215447628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 ALEMANY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122610",
            "telephone_number": "415-846-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OCEAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122549",
            "telephone_number": "415-846-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED LIVES PSYCHOLOGICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUELLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "416-846-7547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jai John Conley
• Ryan James Conlon
• Stephen Conn, MD
• Alan Patrick Connealy, D.C.
• Connect Speech Therapy Inc.
• Connections Medical of Ca PC
• Connectionsca LLC
• Connective Family Therapy, Inc.
• Jacob Connell, MD
• Mary Jane Connell, MD

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.