Individual provider Active NPI

Dorothy Lee Lantz, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1689619181
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY4953 Issued in CA
Practice address
2859 Sacramento St
San Francisco, CA 94115-2114
Phone
(415) 331-5433
Fax
(415) 331-5433
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY4953 CA Primary

Addresses

Primary practice location

2859 Sacramento St
San Francisco, CA 94115-2114

Mailing address

10 Braun CT
Sausalito, CA 94965-1176
Phone (415) 331-5433

Other names 1

  • Dr. Delee Lantz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000434 CA Practitioner - Clinical Psychologist 6507024262 Practice locations: Sausalito, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Harvard Medical School, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Braun CT
Sausalito, CA 94965-1176
Phone (415) 331-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY4953CAMDClinical Psychologist
4953CAMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1689619181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRAUN CT",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651176",
            "telephone_number": "415-331-5433",
            "fax_number": "415-331-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152114",
            "telephone_number": "415-331-5433",
            "fax_number": "415-331-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "DOROTHY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY4953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELEE",
            "last_name": "LANTZ",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.