Active NPI
Lee Stillerman, PHD
- Counseling Psychologist
- Riverside, CA
National Provider Identifier
1487805545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 21971
- Practice address
- Ucr Counseling Ctr
Veitch Student Center, North Wing
Riverside, CA 92521-0001 - Phone
- (562) 208-1056
- NPI assigned
- Oct 8, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 21971 | CA | Primary |
Addresses
Primary practice location
Ucr Counseling Ctr
Veitch Student Center, North Wing
Riverside, CA 92521-0001
Mailing address
17100 Rocky Bend CT
Riverside, CA 92503-0246
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21971 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1487805545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 ROCKY BEND CT",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925030246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCR COUNSELING CTR",
"address_2": "VEITCH STUDENT CENTER, NORTH WING",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925210001",
"telephone_number": "562-208-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLERMAN",
"first_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-08",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "21971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.