Dr. Lee Ann Annotti, Ph.D.
Psychologist, Clinical in Ponte Vedra, FL. Individual provider (NPI-1).
NPI number1114354586
StatusActive
Last updated in NPPESMar 12, 2026
Details
- NPI
- 1114354586
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lee Ann Annotti
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2013
- Certification date
- Mar 12, 2026
- Last updated
- Mar 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY12120 | FL | Yes |
Practice location
3204 Sawgrass Village CirPonte Vedra, FL 32082-5039
Phone 904-572-1573
Mailing address
3204 Sawgrass Village CirPonte Vedra, FL 32082-5039
Phone 904-572-1573
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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