Active NPI
Lee Anthony Underwood, PSY.D.
- Clinical Psychologist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002695
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002695 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forensic Assessment Practice Arizona, PLLC | Clinical | Current | Accepting new patients |
| Teris Health Services LLC | Current | Accepting new patients | |
| Teri'S Health Services | Current | 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 | Past | Accepting new patients |
| Maya Therapy Center LLC | Past | Accepting new patients | |
| New Beginnings With Peace LLC | Past | Accepting new patients | |
| Christian Psychotherapy Services | Clinical | Past | 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.
-
- Professional Counselor
- Phoenix, AZ
- NPI 1215422126
-
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1912588641
-
- Community/Behavioral Health Agency
- Tempe, AZ
- NPI 1770209488
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1790374833
-
- Clinical Psychologist
- Virginia Beach, VA
- NPI 1437247723
-
- Clinic/Center
- Laveen, AZ
- NPI 1790430460
-
- Public Health or Welfare Agency
- Prescott Valley, AZ
- NPI 1154443331
-
- Mental Illness Community Based Residential Treatment Facility
- Prescott Valley, AZ
- NPI 1780777540
-
- Community/Behavioral Health Agency
- Scottsdale, AZ
- NPI 1386304715
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.