Lee a Green PH D P a

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY5323 Issued in FL

Legal business name

LEE A GREEN PH D P A

Practice address

2650 Bahia Vista St
Suite 201
Sarasota, FL 34239-2635

Phone

(941) 951-6504

Fax

(941) 951-6433

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lee A. Green, PH.D.

Title

President

Phone

(941) 951-6504

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1356524367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392635",
            "telephone_number": "941-951-6504",
            "fax_number": "941-951-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392635",
            "telephone_number": "941-951-6504",
            "fax_number": "941-951-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE A GREEN PH D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-951-6504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY5323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Donnell Leathers II, OTR/L
• Jesse Lebaron, MPAS, PA-C
• Keith L Lebrun, PA
• Diane Maria Leddy, MA
• Vanessa Ledesma Rojas, DMD
• Lee Chiropractic Center Inc
• Lee S Mitchel MD PA
• April Marie Lee, DC
• Edward Joonho Lee, MD
• Jaime Lee, CRNP

• Adult Mental Health Clinic/Center in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.