Active NPI
Lamont R Lee, PH.D.
- Clinical Psychologist
- Temecula, CA
National Provider Identifier
1922098797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY5254
- Practice address
- 29645 Rancho California Rd
109
Temecula, CA 92591-6200 - Phone
- (951) 296-0323
- Fax
- (951) 296-0326
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- 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 | PSY5254 | CA | Primary |
Addresses
Primary practice location
29645 Rancho California Rd
109
Temecula, CA 92591-6200
Mailing address
24645 Rancho Calif Rd
Ste 109
Temecula, CA 92590
Phone (951) 296-0323
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 |
|---|---|---|---|
| PSY5254 | CA | MD | Clinical Psychologist |
| 5254 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1922098797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24645 RANCHO CALIF RD",
"address_2": "STE 109",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92590",
"telephone_number": "951-296-0323",
"fax_number": "951-296-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29645 RANCHO CALIFORNIA RD",
"address_2": "109",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925916200",
"telephone_number": "951-296-0323",
"fax_number": "951-296-0326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LAMONT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY5254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.