Individual provider Active NPI

Ellen Chiao Lee, M.D.

  • Psychiatry Physician
  • Allen, TX
National Provider Identifier
1295026326
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q6224 Issued in TX
Practice address
22 Prestige Circle
Suite 200 and 300
Allen, TX 75002
Phone
(214) 383-3200
NPI assigned
Apr 24, 2011
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Behavioral of Texas PA 55 clinicians

Practice addresses (Care Compare)

22 Prestige Cir
Suite 200
Allen, TX 75002-3441
Phone (214) 383-3200

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401000780 TX Practitioner - Psychiatry 9739486952 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spindletop MHMR Services CurrentSince Jul 10, 2023 Accepting new patients
Spindletop MHMR Services Current Accepting new patients
Beacon Behavioral of Texas PA Psychiatry CurrentSince Jan 29, 2024 Accepting new patients

Locations

22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

1604 Hospital Pkwy
Ste 50
Bedford, TX 76022
Phone (817) 354-7268

7777 Forest Ln
Ste 833
Dallas, TX 75230
Phone (972) 566-4591

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q6224 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

22 Prestige Circle
Suite 200 and 300
Allen, TX 75002

Mailing address

539 W Commerce St # 8298
Dallas, TX 75208-1953

Other practice location 1

539 W Commerce St # 8298
Dallas, TX 75208-1953
Phone (214) 937-9198

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
305134403MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2024.

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1295026326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 8298",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PRESTIGE CIRCLE",
            "address_2": "SUITE 200 AND 300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "214-383-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 W Commerce St # 8298",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752081953",
            "country_code": "US",
            "telephone_number": "214-937-9198",
            "fax_number": "972-474-4064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELLEN",
        "middle_name": "CHIAO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-24",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q6224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305134403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.