Individual provider Active NPI

Lee Anthony Underwood, PSY.D.

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1972774347
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002695 Issued in VA
Practice address
900 Commonwealth PL
Virginia Beach, VA 23464-4517
Phone
(757) 274-8221
NPI assigned
Mar 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810002695 VA Primary
Clinical Child & Adolescent Psychologist 103TC2200X 0810002695 VA

Addresses

Primary practice location

900 Commonwealth PL
Virginia Beach, VA 23464-4517

Mailing address

2744 Nestlebrook TRL
Virginia Beach, VA 23456-8221
Phone (757) 630-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130001674 AZ Practitioner - Clinical Psychologist 2860828415 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810002695VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forensic Assessment Practice Arizona, PLLC Clinical Current Accepting new patients
Teris Health Services LLC CurrentSince Oct 14, 2019 Accepting new patients
Teri'S Health Services CurrentSince Oct 14, 2019 Accepting new patients
Brighter Heights Arizona, LLC -Foster Care Past Accepting new patients
Beautiful Pathways Behavioral Health Services, LLC Past Accepting new patients
Brighter Heights Arizona, LLC Dba Prescott House Past Accepting new patients
Oceanbee Wellness, LLC Clinical PastSince Dec 8, 2024 Accepting new patients
Maya Therapy Center LLC PastSince Feb 23, 2025 Accepting new patients
New Beginnings With Peace LLC PastSince Jan 7, 2024 Accepting new patients
Christian Psychotherapy Services Clinical PastSince Jun 1, 1999 Accepting new patients

Locations

115 S Candy Ln
Ste 115C2
Cottonwood, AZ 86326
Phone (602) 358-7073

7205 S 51st Ave
Ste 203
Laveen, AZ 85339
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 108
Phoenix, AZ 85022
Phone (602) 358-7073

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1972774347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 NESTLEBROOK TRL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234568221",
            "telephone_number": "757-630-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644517",
            "telephone_number": "757-274-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "LEE",
        "middle_name": "ANTHONY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002695",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810002695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.