Active NPI
Lee Samuel Spencer, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1386887917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P7038
- Practice address
- 8226 Douglas Ave Ste 805
Dallas, TX 75225 - Phone
- (214) 937-5884
- Fax
- (214) 373-3404
- NPI assigned
- Apr 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | P7038 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | P7038 | TX | Primary |
Addresses
Primary practice location
8226 Douglas Ave Ste 805
Dallas, TX 75225
Mailing address
8226 Douglas Ave Ste 805
Dallas, TX 75225-5930
Phone (214) 345-7355
Other practice location 1
8200 Walnut Hill Ln
Dallas, TX 75231-4426
Phone (214) 345-7355
Other practice location 2
9900 N Central Expy Ste 555
Dallas, TX 75231-0984
Phone (214) 296-9653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549065600000",
"number": "1386887917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8226 DOUGLAS AVE STE 805",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255930",
"telephone_number": "214-345-7355",
"fax_number": "214-345-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8226 DOUGLAS AVE STE 805",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "214-937-5884",
"fax_number": "214-373-3404"
}
],
"practiceLocations": [
{
"address_1": "8200 Walnut Hill Ln",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752314426",
"country_code": "US",
"telephone_number": "214-345-7355",
"fax_number": "214-345-8753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9900 N Central Expy Ste 555",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752310984",
"country_code": "US",
"telephone_number": "214-296-9653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "LEE",
"middle_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-13",
"last_updated": "2019-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "TX",
"license": "P7038",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P7038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.