Individual provider Active NPI

Mary Ellen Voegler-Lee, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Chapel Hill, NC
National Provider Identifier
1730398066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
3160 Issued in NC
Practice address
FPG Child Development Institute
CB #8180
Chapel Hill, NC 27599-8180
Phone
(919) 966-7167
Fax
(919) 966-7532
NPI assigned
May 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 3160 NC Primary

Addresses

Primary practice location

FPG Child Development Institute
CB #8180
Chapel Hill, NC 27599-8180

Mailing address

202 Westbrook Dr
Carrboro, NC 27510-2447
Phone (919) 933-2765

Other identifiers 1

IdentifierTypeStateIssuer
3160OtherNCPSYCHOLOGIST LICENSE

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

LicenseStateTypeSpecialty
3160NCMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730398066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WESTBROOK DR",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102447",
            "telephone_number": "919-933-2765",
            "fax_number": "919-966-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FPG CHILD DEVELOPMENT INSTITUTE",
            "address_2": "CB #8180",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275998180",
            "telephone_number": "919-966-7167",
            "fax_number": "919-966-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOEGLER-LEE",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "3160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "3160",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.