Active NPI
Steven Merriam Lee, PHD
- Psychologist
- Nyack, NY
National Provider Identifier
1659683795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018548-1
- Practice address
- 99 Main St
Suite 320
Nyack, NY 10960-3109 - Phone
- (914) 582-6725
- Fax
- (845) 353-1141
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018548-1 | NY | Primary |
Addresses
Primary practice location
99 Main St
Suite 320
Nyack, NY 10960-3109
Mailing address
40 Schuyler Rd
Nyack, NY 10960-3904
Phone (845) 353-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120305000051 | NY | Practitioner - Clinical Psychologist | 2668631052 | Practice locations: Nyack, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Fordham University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
48 Burd St
Suite 307
Nyack, NY 10960-3226
Phone (914) 582-6725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018548-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1659683795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SCHUYLER RD",
"city": "NYACK",
"state": "NY",
"postal_code": "109603904",
"telephone_number": "845-353-1140",
"fax_number": "845-353-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MAIN ST",
"address_2": "SUITE 320",
"city": "NYACK",
"state": "NY",
"postal_code": "109603109",
"telephone_number": "914-582-6725",
"fax_number": "845-353-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STEVEN",
"middle_name": "MERRIAM",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018548-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.