Active NPI
Victoria Katarina Lee, PH.D.
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1487704904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY1683
- Practice address
- 509 Olive Way
Suite 1532
Seattle, WA 98101-1749 - Phone
- (425) 985-9363
- Fax
- (425) 642-3437
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY1683 | WA | Primary |
Addresses
Primary practice location
509 Olive Way
Suite 1532
Seattle, WA 98101-1749
Mailing address
509 Olive Way
Suite 1532
Seattle, WA 98101-1749
Phone (425) 985-9363
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY1683 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1487704904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OLIVE WAY",
"address_2": "SUITE 1532",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011749",
"telephone_number": "425-985-9363",
"fax_number": "425-642-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY",
"address_2": "SUITE 1532",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011749",
"telephone_number": "425-985-9363",
"fax_number": "425-642-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "VICTORIA",
"middle_name": "KATARINA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY1683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.