Su Li Lee, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004793 Issued in VA

Practice address

108 N Payne St
Alexandria, VA 22314-2906

Phone

(301) 767-1733

NPI assigned

Oct 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 5, 2024 through Feb 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute for the Psychological Sciences

  • Clinical Psychologist
  • Sterling, VA
  • NPI 1518304641
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1851795983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 JEFFERSON DAVIS HWY",
            "address_2": "STE 511",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023603",
            "telephone_number": "703-416-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N PAYNE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142906",
            "telephone_number": "301-767-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SU LI",
        "name_prefix": "Dr.",
        "credential": "LCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lee, D.P.M.
• Sau Fan William Jr Lee
• Serita Lee
• Shara Lee, P.A.
• Steven Jon Lee, DDS
• Virginia Nostrand Lee
• William Sungki Lee, D.D.S.
• Yo Sup Lee, CRNA
• Yoomi Lee, M.D.
• Younjae Lee, MASSAGE THERAPIST

• Clinical Psychologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.