Active NPI
Erica Taylor Lee
- School Psychologist
- Somerville, NJ
National Provider Identifier
1760096960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 203-037
- Practice address
- 134 W End Ave
Somerville, NJ 08876-1816 - Phone
- (908) 333-4646
- NPI assigned
- Sep 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 203-037 | NJ | Primary |
Addresses
Primary practice location
134 W End Ave
Somerville, NJ 08876-1816
Mailing address
147 Sunrise Dr
Whippany, NJ 07981-1169
Phone (973) 519-4532
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 |
|---|---|---|---|
| 203-037 | NJ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1760096960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 SUNRISE DR",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079811169",
"telephone_number": "973-519-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W END AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088761816",
"telephone_number": "908-333-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERICA",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NJ",
"license": "203-037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.