Individual provider Active NPI

Lee Doric Henry, M.E., ATR

  • Psychologist
  • Lowell, MA
National Provider Identifier
1194059154
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
45 Merrimack St
200
Lowell, MA 01852-1729
Phone
(978) 459-2306
Fax
(978) 453-9394
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

45 Merrimack St
200
Lowell, MA 01852-1729

Mailing address

45 Merrimack St
Lowell, MA 01852-1729
Phone (978) 459-2306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220001929 TX Practitioner - Clinical Psychologist 3678818531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Hills Behavioral Health ServicesGroup PAC ID 9739150848, 4 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

11211 Taylor Draper LN
Suite 202
Austin, TX 78759-3971
Phone (512) 674-9020

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Engineering

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Behavioral Health Services CurrentSince Nov 19, 2018 Accepting new patients
Sondermind Provider Network LLC CurrentSince Feb 4, 2022 Accepting new patients
PM Management - Cedar Park NC LLC Past Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

11211 Taylor Draper Ln
Ste 202
Austin, TX 78759
Phone (512) 343-8850

1500 Cottonwood Creek Trl
Ste 800
Cedar Park, TX 78613
Phone (512) 259-4259

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1194059154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521729",
            "telephone_number": "978-459-2306",
            "fax_number": "978-453-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MERRIMACK ST",
            "address_2": "200",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521729",
            "telephone_number": "978-459-2306",
            "fax_number": "978-453-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LEE",
        "middle_name": "DORIC",
        "credential": "M.E., ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.