Individual provider Active NPI

James Earl Lee Jr., M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1487784344
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25823 Issued in SC
Practice address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone
(917) 634-5311
Fax
(888) 815-3583
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 25823 SC
Psychiatry Physician 2084P0800X 25823 SC Primary

Addresses

Primary practice location

109 W 27TH St RM 5S
New York, NY 10001-6208

Mailing address

4 Glengrove Dr
Simpsonville, SC 29681-3667
Phone (833) 351-8255

Other practice location 1

900 Trail Ridge Rd Fl 1
Aiken, SC 29803-7765
Phone (917) 634-5311

Other practice location 2

15000 Weston Parkway
Private Office 171
Cary, NC 27513
Phone (917) 634-5311

Other identifiers 1

IdentifierTypeStateIssuer
258232MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070926001191 SC Practitioner - Psychiatry 9133214802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chestnut Hill Mental Health Center, IncGroup PAC ID 0648259887, 6 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

1 Havenwood LN
Travelers Rest, SC 29690-9680
Phone (864) 834-8013

10 Hospital Ctr CMNS
Suite 400
Hilton Head Island, SC 29926-2849
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25823SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 27, 2025 Accepting new patients
Chestnut Hill Mental Health Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
Ascension Behavioral Healthcare PA CurrentSince Jan 1, 1990 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jan 27, 2025 Accepting new patients
Ichep LLC Past Accepting new patients

Locations

15000 Weston Pkwy
Ofc 171
Cary, NC 27513
Phone (919) 925-3927

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

900 Trail Ridge Rd
Fl 1
Aiken, SC 29803
Phone (803) 233-2882

10 Hospital Center Cmns
Ste 400
Hilton Head Island, SC 29926

452 Lakeshore Pkwy
Ste 105
Rock Hill, SC 29730
Phone (803) 329-1915

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1487784344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLENGROVE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813667",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Trail Ridge Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298037765",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15000 Weston Parkway",
            "address_2": "Private Office 171",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27513",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-05-09",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "SC",
            "license": "25823",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "25823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258232",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.