Active NPI
Tae Young Lee, M.D.
- Child & Adolescent Psychiatry Physician
- Lewisville, TX
National Provider Identifier
1235333402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- M8787
- Practice address
- 560 W Main St
Suite 101
Lewisville, TX 75057-3629 - Phone
- (972) 221-1741
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M8787 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | M8787 | TX | Primary |
Addresses
Primary practice location
560 W Main St
Suite 101
Lewisville, TX 75057-3629
Mailing address
4100 Fairway Dr
Suite 200
Carrollton, TX 75010
Phone (972) 221-1741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP2-0022474 | Other | INSTITUTIONAL PERMIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrollton Springs, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- McKinney, TX
- NPI 1982483137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1235333402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 FAIRWAY DR",
"address_2": "SUITE 200",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-221-1741",
"fax_number": "972-939-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MAIN ST",
"address_2": "SUITE 101",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573629",
"telephone_number": "972-221-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TAE",
"middle_name": "YOUNG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M8787",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "M8787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP2-0022474",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.