Organization Active NPI

Douglas Lee MD Inc

  • Psychologist
  • Lorain, OH
National Provider Identifier
1114965811
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DOUGLAS LEE MD INC
Practice address
1930 Reid Ave
Lorain, OH 44052-3771
Phone
(440) 233-8431
Fax
(440) 233-8432
NPI assigned
Jun 3, 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
Douglas J Lee, MDNPI 1285600999
Title
Coo
Phone
(440) 233-8431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1930 Reid Ave
Lorain, OH 44052-3771

Mailing address

221 W 21St St
Lorain, OH 44052-4754
Phone (440) 244-0010

National Provider Directory

National Provider Directory

Locations

1930 Reid Ave
Lorain, OH 44052
Phone (216) 233-8431

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114965811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W 21ST ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440524754",
            "telephone_number": "440-244-0010",
            "fax_number": "440-244-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 REID AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523771",
            "telephone_number": "440-233-8431",
            "fax_number": "440-233-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "440-233-8431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

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.