Organization Active NPI

Talisha Lee, PH.D., LLC

  • Clinical Child & Adolescent Psychologist
  • North Bethesda, MD
National Provider Identifier
1942612635
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
05014 Issued in MD
Legal business name
TALISHA LEE, PH.D., LLC
Practice address
6010 Executive Blvd
Suite 1030
North Bethesda, MD 20852-3809
Phone
(240) 428-4413
Fax
(301) 587-6279
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. Talisha Lee, PH.D., LCP
Title
Clinical Psychologist
Phone
(240) 428-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 05014 MD Primary

Addresses

Primary practice location

6010 Executive Blvd
Suite 1030
North Bethesda, MD 20852-3809

Mailing address

6010 Executive Blvd
Suite 1030
North Bethesda, MD 20852-3809
Phone (240) 428-4413

National Provider Directory

National Provider Directory

Locations

6010 Executive Blvd
Ste 1030
Rockville, MD 20852
Phone (240) 428-4413

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1942612635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 EXECUTIVE BLVD",
            "address_2": "SUITE 1030",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523809",
            "telephone_number": "240-428-4413",
            "fax_number": "301-587-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 EXECUTIVE BLVD",
            "address_2": "SUITE 1030",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523809",
            "telephone_number": "240-428-4413",
            "fax_number": "301-587-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALISHA LEE, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TALISHA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "240-428-4413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "05014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.