Jessica Louise Lee, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6475 Issued in MN

Practice address

3812 8TH Street North Suite 200
St. Cloud, MN 56303-2015

Phone

(320) 258-3833

NPI assigned

Nov 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jessica Lee, PLLC

  • Clinical Neuropsychologist
  • Saint Cloud, MN
  • NPI 1376318873
  Medicare reassignment NPD Authorized official
• St. Cloud Neurobehavioral Associates PA

  • Medical Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1871555441
  Medicare reassignment NPD
• St. Cloud Neurobehavioral Associates, PA

  • Cognitive & Behavioral Psychologist
  • Saint Cloud, MN
  • NPI 1043860109
  NPD

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1982249009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 8TH STREET NORTH SUITE 200",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-258-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 8TH STREET NORTH SUITE 200",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "563032015",
            "telephone_number": "320-258-3833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563032015",
            "country_code": "US",
            "telephone_number": "320-252-1670 x5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Lynne Leduc, MA, MS, LAMFT
• Ann M Lee, D.O.
• Bobby Lee, RN
• Carol Jean Lee, RN
• Elaina Lee, M.D.
• Kristine Lee
• Margaret Dwyer Lee, PSYD LP
• Michael Martin Lee, DO
• Morgan Ann Lee, LICSW
• Nathan David Lee, M.D.

• Clinical Psychologist in St. Cloud, MN
• Providers in St. Cloud, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.