Active NPI
Trinda Shalane Lee, PH.D.
- Clinical Psychologist
- Butner, NC
National Provider Identifier
1851485460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3158
- Practice address
- Adult Admissions Unit, John Umstead Hospital
1003 12TH St.
Butner, NC 27509 - Phone
- (919) 575-2284
- NPI assigned
- Oct 3, 2006
- 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 | 3158 | NC | Primary |
Addresses
Primary practice location
Adult Admissions Unit, John Umstead Hospital
1003 12TH St.
Butner, NC 27509
Mailing address
Adult Admissions Unit, John Umstead Hospital
1003 12TH St.
Butner, NC 27509
Phone (919) 575-2284
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3158 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851485460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ADULT ADMISSIONS UNIT, JOHN UMSTEAD HOSPITAL",
"address_2": "1003 12TH ST.",
"city": "BUTNER",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-575-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ADULT ADMISSIONS UNIT, JOHN UMSTEAD HOSPITAL",
"address_2": "1003 12TH ST.",
"city": "BUTNER",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-575-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TRINDA",
"middle_name": "SHALANE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.