Individual provider Active NPI

Joseph Bonghyun Lee, MD

  • Psychiatry Physician
  • Cambridge, MA
National Provider Identifier
1336217579
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
241830 Issued in MA
Practice address
875 Massachusetts Ave Ste 72
Cambridge, MA 02139-3071
Phone
(617) 475-0129
Fax
(206) 337-1066
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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 21862 WV
Psychiatry Physician 2084P0800X 241830 MA Primary

Addresses

Primary practice location

875 Massachusetts Ave Ste 72
Cambridge, MA 02139-3071

Mailing address

43 Botsford Rd
Chestnut Hill, MA 02467-3019
Phone (617) 475-0129

Other identifiers 1

IdentifierTypeStateIssuer
3810003220MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20091103000389 MA Practitioner - Psychiatry 9739113424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHM Services IncGroup PAC ID 4183637929, 22 clinicians

Practice addresses (Care Compare)

115 Lincoln St
Framingham, MA 01702-6342
Phone (508) 383-1012

67 Union St
Natick, MA 01760-7700
Phone (508) 650-7000

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 23, 2017 Accepting new patients
Saint Vincent Physician Services, Inc. Psychiatry CurrentSince Jul 8, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 23, 2017 Accepting new patients
Steward Medical Group Inc. Past Accepting new patients

Locations

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

123 Summer St
Ste 32S
Worcester, MA 01608
Phone (508) 363-5189

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1336217579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BOTSFORD RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673019",
            "telephone_number": "617-475-0129",
            "fax_number": "206-337-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE STE 72",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393071",
            "telephone_number": "617-475-0129",
            "fax_number": "206-337-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPH",
        "middle_name": "BONGHYUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "21862",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "241830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003220",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.