Active NPI
Lee Wesson Odescalchi, PHD
- Psychologist
- Poughkeepsie, NY
National Provider Identifier
1942386271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013095-1
- Practice address
- 24 Davis Ave
Poughkeepsie, NY 12603 - Phone
- (845) 505-7495
- Fax
- (845) 635-2283
- NPI assigned
- Oct 30, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013095-1 | NY | Primary |
Addresses
Primary practice location
24 Davis Ave
Poughkeepsie, NY 12603
Mailing address
24 Davis Avenue
Poughkeepsie, NY 12603
Phone (845) 505-7495
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417844 | Other | MVP HEALTH CARE | |
| 734933 | Other | VALUEOPTIONS | |
| 7908540 | Other | AETNA | |
| 137407 | Other | VALUEOPTIONS | |
| 7349337 | Other | VALUEOPTIONS |
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 |
|---|---|---|---|
| 013095-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942386271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 DAVIS AVENUE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12603",
"telephone_number": "845-505-7495",
"fax_number": "845-635-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 DAVIS AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12603",
"telephone_number": "845-505-7495",
"fax_number": "845-635-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODESCALCHI",
"first_name": "LEE",
"middle_name": "WESSON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013095-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "417844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "734933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7908540",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "137407",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "7349337",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
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.