Individual provider Active NPI

Amy Lee, PSY.D., BCBA, PMH-C

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1376034454
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
024804 Issued in NY
Practice address
8011 18TH Ave FL 2
Brooklyn, NY 11214-1705
Phone
(646) 517-0708
NPI assigned
May 23, 2018
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X TPPY1464 FL
Clinical Psychologist 103TC0700X NJDCATEMP-048026 NJ
Clinical Psychologist 103TC0700X 024804 NY Primary
Behavior Analyst 103K00000X 1-21-51095 NU

Addresses

Primary practice location

8011 18TH Ave FL 2
Brooklyn, NY 11214-1705

Mailing address

303 5TH Ave
Suite 1802
New York, NY 10016
Phone (646) 517-0708

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
TPPY1464FLMDClinical Psychologist
NJDCATEMP-048026NJMDClinical Psychologist
024804NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Lee Psychological Services, P.C. CurrentSince Dec 18, 2022 Accepting new patients

Locations

8011 18th Ave
Fl 2
Brooklyn, NY 11214
Phone (646) 517-0708

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1376034454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "address_2": "SUITE 1802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "646-517-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 18TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141705",
            "telephone_number": "646-517-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "TPPY1464",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "NJDCATEMP-048026",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024804",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-21-51095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.