Active NPI
Himchan Lee, PSY.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1538744719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-005609
- Practice address
- 2800 W Pinnacle Peak Rd
Phoenix, AZ 85027-1000 - Phone
- (623) 869-9050
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | PSY-005609 | AZ | Primary |
Addresses
Primary practice location
2800 W Pinnacle Peak Rd
Phoenix, AZ 85027-1000
Mailing address
PO Box 37371
Phoenix, AZ 85069-7371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-005609 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1538744719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37371",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850697371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W PINNACLE PEAK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271000",
"telephone_number": "623-869-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HIMCHAN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2023-07-26",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-005609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.