Fania Lee, PSYD HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042013A Issued in IN

Practice address

43 Washington Ave
Evansville, IN 47713-1317

Phone

(812) 455-6597

Fax

(812) 909-3245

NPI assigned

May 31, 2006

Last updated

Apr 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fania Lee PSYD HSPP LLC

  • Clinical Psychologist
  • Evansville, IN
  • NPI 1609287028
  NPD (past) Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1992742068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131317",
            "telephone_number": "812-455-6597",
            "fax_number": "812-909-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131317",
            "telephone_number": "812-455-6597",
            "fax_number": "812-909-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FANIA",
        "name_prefix": "Dr.",
        "credential": "PSYD HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042013A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992742068",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly N Leavitt, LSW
• Courtney Rae Lebarron, CCC-SLP
• Cindy L Ledbetter, NP
• Akitto Ledda, D.O.
• Lindsey Lee Ledford, PHARM.D. R.PH.
• Jeana J. Lee, M.D.
• Kenneth Lee
• Kimberly K Lee, PT
• Monica Cecile Lee, MSN, APRN, FNP-C
• Sarah Lee

• Clinical Psychologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.