Active NPI
Aileen An-Lu Lee, PH.D.
- Clinical Neuropsychologist
- Sedona, AZ
National Provider Identifier
1548340110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 3311
- Practice address
- 105 Roadrunner Dr Ste 7
Sedona, AZ 86336-3767 - Phone
- (928) 203-1774
- Fax
- (928) 203-4703
- NPI assigned
- Oct 17, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3311 | AZ | Primary |
| Clinical Psychologist | 103TC0700X | 3311 | AZ |
Addresses
Primary practice location
105 Roadrunner Dr Ste 7
Sedona, AZ 86336-3767
Mailing address
235 Rim Shadows Dr
Sedona, AZ 86336-3458
Phone (928) 203-1774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0614940 | Other | AZ | BCBS |
| 518061 | Other | AZ | AHCCCS |
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 |
|---|---|---|---|
| 3311 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1548340110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 RIM SHADOWS DR",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863363458",
"telephone_number": "928-203-1774",
"fax_number": "928-203-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ROADRUNNER DR STE 7",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863363767",
"telephone_number": "928-203-1774",
"fax_number": "928-203-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "AILEEN",
"middle_name": "AN-LU",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "3311",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3311",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0614940",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "518061",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.