Individual provider Active NPI

Lee Higdon Haller, M.D.

  • Psychiatry Physician
  • Potomac, MD
National Provider Identifier
1326345828
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D23516 Issued in MD
Practice address
9800 Falls Rd
Suite 2
Potomac, MD 20854-3999
Phone
(301) 983-5211
Fax
(301) 983-5213
NPI assigned
Feb 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D23516 MD Primary
Child & Adolescent Psychiatry Physician 2084P0804X D23516 MD

Addresses

Primary practice location

9800 Falls Rd
Suite 2
Potomac, MD 20854-3999

Mailing address

9800 Falls Rd
Suite 2
Potomac, MD 20854-3999
Phone (301) 983-5211

Other identifiers 1

IdentifierTypeStateIssuer
1558355644OtherMDNPI TYPE 2

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

State licenses

LicenseStateTypeSpecialty
D23516MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Haller MD PC Psychiatry PastSince Dec 4, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1326345828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 FALLS RD",
            "address_2": "SUITE 2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543999",
            "telephone_number": "301-983-5211",
            "fax_number": "301-983-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 FALLS RD",
            "address_2": "SUITE 2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543999",
            "telephone_number": "301-983-5211",
            "fax_number": "301-983-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "LEE",
        "middle_name": "HIGDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D23516",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D23516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1558355644",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.