Active NPI
Daniel A Lee, PSYD
- Prescribing (Medical) Psychologist
- Las Cruces, NM
National Provider Identifier
1427203223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- PSY20250123
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| B10000996 | DE | MD | Psychologist |
| 35SI00461200 | NJ | MD | Psychologist |
| PSY20240077 | NM | MD | Psychologist |
| PS016044 | PA | MD | Psychologist |
| PSY20250123 | NM | MD | Prescribing (Medical) Psychologist |
| 578485 | NJ | MD | School Psychologist |
| 429721 | NM | MD | School Psychologist |
| 10641367 | PA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inetmed RX2 Inc. | Psychologist | Current | 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.
-
- Prescribing (Medical) Psychologist
- Las Cruces, NM
- NPI 1487107363
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.