Active NPI
Jennifer Dormer Lee, PSY.D.
- Clinical Psychologist
- Manhattan Beach, CA
National Provider Identifier
1770935173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27-1859432
- Practice address
- 1050 Duncan Ave Ste L
Manhattan Beach, CA 90266-6752 - Phone
- (310) 421-1124
- NPI assigned
- Jul 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 27-1859432 | CA | Primary |
Addresses
Primary practice location
1050 Duncan Ave Ste L
Manhattan Beach, CA 90266-6752
Mailing address
1050 Duncan Ave Ste L
Manhattan Beach, CA 90266-6752
Phone (310) 421-1124
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 |
|---|---|---|---|
| 27-1859432 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1770935173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 DUNCAN AVE STE L",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666752",
"telephone_number": "310-421-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DUNCAN AVE STE L",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666752",
"telephone_number": "310-421-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMER LEE",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27-1859432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
- Joseph Trammell Dixon, MD
- Michelle Jillian Dolinsky
- Dominique and Donna Scott Chiropractic, Inc.
- Don Mungcal, D.D.S., Inc.
- Don Ramos Mungcal DDS a Professional Corporation
- Monica Dornick
- Annie Dornoff, PHARMD
- Emily Downs, MFT TRAINEE
- Margo Doxakis Stein, MFT PSYCOTHERAPIST
- Dr Charles Small Sport and Spine Chiropractic and Physical Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.