Organization Active NPI

Tiffany C. Lee, Psy.D. LLC

  • Clinical Psychologist
  • Kaneohe, HI
National Provider Identifier
1235903410
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TIFFANY C. LEE, PSY.D. LLC
Practice address
46-170 Ohala St
Kaneohe, HI 96744-4060
Phone
(808) 888-9046
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Tiffany C Lee, PSY.D.NPI 1093062648
Title
Owner
Phone
(808) 888-9046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

46-170 Ohala St
Kaneohe, HI 96744-4060

Mailing address

536 Tamarack Dr Unit 401
Steamboat Springs, CO 80487-3152

Other practice location 1

536 Tamarack Dr Unit 401
Steamboat Springs, CO 80487-3152
Phone (808) 888-9046

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1235903410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 TAMARACK DR UNIT 401",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804873152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-170 OHALA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444060",
            "telephone_number": "808-888-9046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 Tamarack Dr Unit 401",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804873152",
            "country_code": "US",
            "telephone_number": "808-888-9046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIFFANY C. LEE, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-888-9046",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.