Organization Active NPI

Bonnie M Lee & Associates

  • Community/Behavioral Health Agency
  • De Pere, WI
National Provider Identifier
1366659401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2088 Issued in WI
Legal business name
BONNIE M LEE & ASSOCIATES
Practice address
2200 Dickinson Road
Unit 4B
De Pere, WI 54115
Phone
(920) 347-3502
Fax
(920) 347-3501
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Bonnie Mae Lee, MSWNPI 1144310194
Title
Director
Phone
(920) 347-3502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2088 WI Primary

Addresses

Primary practice location

2200 Dickinson Road
Unit 4B
De Pere, WI 54115

Mailing address

2200 Dickinson Road Unit 4B
De Pere, WI 54115
Phone (920) 347-3502

National Provider Directory

National Provider Directory

Locations

2200 Dickinson Rd
Unit 4B
De Pere, WI 54115
Phone (920) 347-3500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366659401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DICKINSON ROAD UNIT 4B",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-347-3502",
            "fax_number": "920-347-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DICKINSON ROAD",
            "address_2": "UNIT 4B",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-347-3502",
            "fax_number": "920-347-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE M LEE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-347-3502",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.