Individual provider Active NPI

Hanheung Lee, M.D.

  • Psychiatric Hospital Unit
  • Detroit, MI
National Provider Identifier
1477572469
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
4301038023 Issued in MI
Practice address
10 Peterboro St
Detroit, MI 48201-2722
Phone
(313) 221-8595
Fax
(313) 221-8595
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Acupuncturist 171100000X
Psychiatric Hospital Unit 273R00000X 4301038023 MI Primary

Addresses

Primary practice location

10 Peterboro St
Detroit, MI 48201-2722

Mailing address

613 Abbott St
Detroit, MI 48226-1348
Phone (313) 635-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050128000448 MI Practitioner - Psychiatry 7214823020 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301038023MIMDPsychiatric Hospital Unit

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Central City Community Mental Health Inc. CurrentSince Jan 20, 2016 Accepting new patients
Detroit Central City Community Mental Health Inc. CurrentSince Jan 20, 2016 Accepting new patients
Apex Behavioral Health,PLLC Past Accepting new patients

Locations

10 Peterboro St
Detroit, MI 48201
Phone (313) 221-8595

10 Peterboro St
Fl 1
Detroit, MI 48201

613 Abbott St
Detroit, MI 48226

Interoperability endpoints

  • Direct secure messaging: hanheung.lee.1@23845.direct.athenahealth.com

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1477572469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 ABBOTT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261348",
            "telephone_number": "313-635-4202",
            "fax_number": "313-635-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012722",
            "telephone_number": "313-221-8595",
            "fax_number": "313-221-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HANHEUNG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MI",
            "license": "4301038023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.