DR. JORDAN DANIELLE LEE PSYD
NPI 1689352163
Psychologist - Clinical in Oakland, CA

Q: What is Jordan Lee's NPI number?

The NPI number for Jordan Lee is 1689352163. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Q: What is Jordan Lee's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Lee was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2023PECOS Enrolled

3505 BROADWAY FL 4, OAKLAND, CA 94611(510) 752-5324 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jordan Danielle Lee Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN DANIELLE LEE PSYD (NPI 1689352163) is an individual clinical provider in Oakland, California, licensed in California (PSY34305) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689352163

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JORDAN DANIELLE LEECredential: PSYD

Location Address3505 BROADWAY FL 4Oakland, CA 94611-5798

Mailing Address3505 Broadway Fl 4Oakland, CA 94611-5798

Phone(510) 752-5324

Sole ProprietorYes

Enumeration DateJuly 6, 2023

NPPES CertifiedJuly 6, 2023

✔ NPI 1689352163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY34305

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3505 BROADWAY FL 4, Oakland, CA 94611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Danielle Lee Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

9.6 mi

Internal Medicine

901 NEVIN
Richmond, CA 94801

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN CAMPBELL PH.D.

Psychologist (Clinical)