Individual provider Active NPI

Daniel A Lee, PSYD

  • Prescribing (Medical) Psychologist
  • Las Cruces, NM
National Provider Identifier
1427203223
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
PSY20250123 Issued in NM
Practice address
1635 S Don Roser Dr
Las Cruces, NM 88011-4550
Phone
(575) 636-2506
Fax
(575) 288-2691
NPI assigned
Nov 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X PSY20250123 NM Primary
Psychologist 103T00000X PSY20240077 NM
School Psychologist 103TS0200X 578485 NJ
School Psychologist 103TS0200X 10641367 PA
Psychologist 103T00000X PS016044 PA
Psychologist 103T00000X 35SI00461200 NJ
Psychologist 103T00000X B10000996 DE
School Psychologist 103TS0200X 429721 NM

Addresses

Primary practice location

1635 S Don Roser Dr
Las Cruces, NM 88011-4550

Mailing address

6327 Burbridge St
Philadelphia, PA 19144-2505
Phone (267) 259-4558

Other practice location 1

6327 Burbridge St
Philadelphia, PA 19144-2505
Phone (267) 259-4558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20260310000794 NM Practitioner - Clinical Psychologist 8426312356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1635 S Don Roser Dr
Las Cruces, NM 88011-4550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B10000996DEMDPsychologist
35SI00461200NJMDPsychologist
PSY20240077NMMDPsychologist
PS016044PAMDPsychologist
PSY20250123NMMDPrescribing (Medical) Psychologist
578485NJMDSchool Psychologist
429721NMMDSchool Psychologist
10641367PAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inetmed RX2 Inc. Psychologist CurrentSince Jan 17, 2026 Accepting new patients

Locations

1635 S Don Roser Dr
Las Cruces, NM 88011
Phone (575) 522-1241

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1427203223",
    "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": "267-259-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114550",
            "telephone_number": "575-636-2506",
            "fax_number": "575-288-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6327 Burbridge St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191442505",
            "country_code": "US",
            "telephone_number": "267-259-4558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "PSY20250123",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "PSY20240077",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": "578485",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "10641367",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016044",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00461200",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000996",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "429721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.