Active NPI
Erica Lee, PSY.D.
- Clinical Psychologist
- Palo Alto, CA
National Provider Identifier
1598913477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30005
- Practice address
- 260 Sheridan Ave Ste B10
Palo Alto, CA 94306-2042 - Phone
- (650) 521-5265
- NPI assigned
- Sep 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 30005 | CA | Primary |
Addresses
Primary practice location
260 Sheridan Ave Ste B10
Palo Alto, CA 94306-2042
Mailing address
PO Box 7151
Alhambra, CA 91802-7151
Phone (650) 521-5265
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 |
|---|---|---|---|
| 30005 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Doors Therapy, a Psychological Corporation | Current | Accepting new patients |
Locations
260 Sheridan Ave
Ste B10
Palo Alto, CA 94306
Phone (650) 521-5265
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.
-
- Counseling Psychologist
- Palo Alto, CA
- NPI 1083231773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1598913477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7151",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918027151",
"telephone_number": "650-521-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SHERIDAN AVE STE B10",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943062042",
"telephone_number": "650-521-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2021-05-17",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.