Organization Active NPI

Elsa Lee

  • Psychologist
  • Great Neck, NY
National Provider Identifier
1780352708
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ELSA LEE
Practice address
505 Northern Blvd Ste 205
Great Neck, NY 11021-5112
Phone
(646) 389-2283
NPI assigned
Sep 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Elsa LeeNPI 1043718505
Title
Psychologist
Phone
(646) 238-9228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

505 Northern Blvd Ste 205
Great Neck, NY 11021-5112

Mailing address

505 Northern Blvd Ste 205
Great Neck, NY 11021-5112

National Provider Directory

National Provider Directory

Locations

505 Northern Blvd
Ste 205
Great Neck, NY 11021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1780352708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NORTHERN BLVD STE 205",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NORTHERN BLVD STE 205",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215112",
            "telephone_number": "646-389-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSA LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-238-9228"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.