Lee Psychological Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016044 Issued in PA

Legal business name

LEE PSYCHOLOGICAL ASSOCIATES

Practice address

6327 Burbridge St
Philadelphia, PA 19144-2505

Phone

(215) 991-9066

Fax

(215) 991-9062

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Daniel Lee, PSYD

Title

Ceo

Phone

(215) 991-9066

Specialties & licenses 9

Addresses

Other identifiers 1

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1376918573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 BURBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442505",
            "telephone_number": "215-991-9066",
            "fax_number": "215-991-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 BURBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442505",
            "telephone_number": "215-991-9066",
            "fax_number": "215-991-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-991-9066",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016044",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022425400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberlyn Viviana Ledesma, DDS
• Katherine Ledwith, DSW, MSW, LCSW
• Lee a. Celio, M.D.
• Lee N Hanuschak,MD
• Lisa Sung Lee Paulino
• Melissa Lee-Agawa, M.D.
• Jannet Jieyun Lee-Jayaram, M.D.
• Angela P Lee-Kilpatrick, D.O.
• Rachel Lee-Nigsch
• Roberta F. Lee-Powell, DO

• Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.