Organization Active NPI

Lee Haller MD PC

  • Psychiatry Physician
  • Potomac, MD
National Provider Identifier
1558355644
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD12620 Issued in DC
Legal business name
LEE HALLER MD PC
Practice address
9800 Falls Rd
Ste 2
Potomac, MD 20854-3999
Phone
(301) 983-5211
Fax
(301) 983-5213
NPI assigned
Sep 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Mrs. Marcia J Haller
Title
Vice President & Treasurer
Phone
(301) 977-0648

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X D0023516 MD
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X MD12620 DC Primary

Addresses

Primary practice location

9800 Falls Rd
Ste 2
Potomac, MD 20854-3999

Mailing address

9800 Falls Rd
Ste 2
Potomac, MD 20854-3999
Phone (301) 983-5211

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1558355644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 FALLS RD",
            "address_2": "STE 2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543999",
            "telephone_number": "301-983-5211",
            "fax_number": "301-983-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 FALLS RD",
            "address_2": "STE 2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543999",
            "telephone_number": "301-983-5211",
            "fax_number": "301-983-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE HALLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT & TREASURER",
        "authorized_official_telephone_number": "301-977-0648",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0023516",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD12620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.