Active NPI
Lee Ann Fitzgibbons, PHD
- Clinical Psychologist
- Lincoln, ME
National Provider Identifier
1831165661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS1176
- Practice address
- 186 Twin Spring Lane
Lincoln, ME 04457 - Phone
- (207) 655-2737
- Fax
- (207) 655-1065
- NPI assigned
- Feb 23, 2006
- Last updated
- Jan 17, 2025
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS1176 | ME | Primary |
Addresses
Primary practice location
186 Twin Spring Lane
Lincoln, ME 04457
Mailing address
PO Box 70
Raymond, ME 04071-0070
Phone (207) 655-2737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061697 | Other | ME | ANTHEM BC/BS OF ME PIN |
Other names 1
- Mrs. Lee Fitzgibbons Street
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS1176 | ME | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety Solutions of Northern New England, PLLC | Clinical | Current | Accepting new patients |
| Center for New Beginnings | Clinical | Past | Accepting new patients |
Locations
104 Webbs Mills Rd
Raymond, ME 04071
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Lincoln, ME
- NPI 1366513897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1831165661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "RAYMOND",
"state": "ME",
"postal_code": "040710070",
"telephone_number": "207-655-2737",
"fax_number": "207-655-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 TWIN SPRING LANE",
"city": "LINCOLN",
"state": "ME",
"postal_code": "04457",
"telephone_number": "207-655-2737",
"fax_number": "207-655-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGIBBONS",
"first_name": "LEE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS1176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS OF ME PIN",
"identifier": "061697",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEE",
"last_name": "STREET",
"middle_name": "FITZGIBBONS",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.