Active NPI
Diana Dy an Lee, MFT INTERN
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1518219948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF71239
- Practice address
- 605 W Olympic Blvd Ste 550
Los Angeles, CA 90015-1474 - Phone
- (213) 553-1850
- Fax
- (213) 383-3146
- NPI assigned
- Oct 9, 2012
- Last updated
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF71239 | CA | Primary |
Addresses
Primary practice location
605 W Olympic Blvd Ste 550
Los Angeles, CA 90015-1474
Mailing address
605 W Olympic Blvd Ste 550
Los Angeles, CA 90015-1474
Phone (213) 553-1850
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF71239 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1518219948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 W OLYMPIC BLVD STE 550",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151474",
"telephone_number": "213-553-1850",
"fax_number": "213-383-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W OLYMPIC BLVD STE 550",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151474",
"telephone_number": "213-553-1850",
"fax_number": "213-383-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DIANA",
"middle_name": "DY AN",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF71239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.