Organization Active NPI

Lucienne Lee PHD, LLC

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1528442365
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY01453 Issued in MO
Legal business name
LUCIENNE LEE PHD, LLC
Practice address
9229 Ward Pkwy
Suite 225
Kansas City, MO 64114-3326
Phone
(816) 444-5511
Fax
(816) 822-8058
NPI assigned
Jul 10, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Lucienne Alma Lee, PHD
Title
Owner
Phone
(816) 444-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY01453 MO Primary

Addresses

Primary practice location

9229 Ward Pkwy
Suite 225
Kansas City, MO 64114-3326

Mailing address

9229 Ward Pkwy
Suite 225
Kansas City, MO 64114-3326
Phone (816) 444-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151022001777 MO Part B Supplier - Clinic/Group Practice 1951610484 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1528442365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY",
            "address_2": "SUITE 225",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143326",
            "telephone_number": "816-444-5511",
            "fax_number": "816-822-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY",
            "address_2": "SUITE 225",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143326",
            "telephone_number": "816-444-5511",
            "fax_number": "816-822-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIENNE LEE PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LUCIENNE",
        "authorized_official_middle_name": "ALMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-444-5511",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.