Active NPI
Elizabeth B. Lee, PHD
- Clinical Psychologist
- Vestavia, AL
National Provider Identifier
1730338583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1863
- Practice address
- 400 Vestavia Pkwy
Suite 130
Vestavia, AL 35216-3763 - Phone
- (205) 823-2373
- Fax
- (205) 823-2378
- NPI assigned
- Sep 17, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2803 | TN | |
| Clinical Psychologist | 103TC0700X | 1863 | AL | Primary |
Addresses
Primary practice location
400 Vestavia Pkwy
Suite 130
Vestavia, AL 35216-3763
Mailing address
400 Vestavia Pkwy
Suite 130
Vestavia, AL 35216-3763
Phone (205) 823-2373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158796 | Medicaid | AL | |
| 1511618 | Medicaid | TN |
Other names 1
- Elizabeth Bragg Bowling
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 |
|---|---|---|---|
| 2803 | TN | MD | Clinical Psychologist |
| 1863 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1730338583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 VESTAVIA PKWY",
"address_2": "SUITE 130",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352163763",
"telephone_number": "205-823-2373",
"fax_number": "205-823-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 VESTAVIA PKWY",
"address_2": "SUITE 130",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352163763",
"telephone_number": "205-823-2373",
"fax_number": "205-823-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELIZABETH",
"middle_name": "B.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "2803",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158796",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1511618",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BOWLING",
"middle_name": "BRAGG",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.