Organization Active NPI

Lee H Beecher MD PA

  • Psychiatry Physician
  • St Louis Park, MN
National Provider Identifier
1003978156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17314 Issued in MN
Legal business name
LEE H BEECHER MD PA
Practice address
6600 Excelsior Blvd
Creekside BLDG Suite 121
St Louis Park, MN 55426-4746
Phone
(952) 935-7116
Fax
(952) 935-0687
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee H Beecher, MD
Title
Psychiatrist
Phone
(952) 935-7116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 17314 MN Primary

Addresses

Primary practice location

6600 Excelsior Blvd
Creekside BLDG Suite 121
St Louis Park, MN 55426-4746

Mailing address

6600 Excelsior Blvd
Creekside BLDG Suite 121
St Louis Park, MN 55426-4746
Phone (952) 935-7116

Other identifiers 2

IdentifierTypeStateIssuer
0863637OtherMNMEDICAL ASSISTANCE
01048BEOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

6600 Excelsior Blvd
Ste 121
St Louis Park, MN 55426
Phone (952) 935-7116

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003978156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BLVD",
            "address_2": "CREEKSIDE BLDG SUITE 121",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264746",
            "telephone_number": "952-935-7116",
            "fax_number": "952-935-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BLVD",
            "address_2": "CREEKSIDE BLDG SUITE 121",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264746",
            "telephone_number": "952-935-7116",
            "fax_number": "952-935-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE H BEECHER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEECHER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "952-935-7116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "17314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0863637",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01048BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.