Individual provider Active NPI

Lee Donald Ockenden

  • Psychologist
  • Davis, CA
National Provider Identifier
1831738467
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38216 Issued in CA
Practice address
105 E St Ste 2E
Davis, CA 95616-4572
Phone
(530) 341-8180
NPI assigned
Dec 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38216 CA Primary

Addresses

Primary practice location

105 E St Ste 2E
Davis, CA 95616-4572

Mailing address

105 E St Ste 2E
Davis, CA 95616-4572
Phone (530) 341-8180

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

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1831738467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E ST STE 2E",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164572",
            "telephone_number": "530-341-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E ST STE 2E",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164572",
            "telephone_number": "530-341-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCKENDEN",
        "first_name": "LEE",
        "middle_name": "DONALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "38216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.