DR. JORDAN DANIELLE LEE PSYD - NPI 1689352163

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 with the weekly NPPES data releases published by CMS.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)