Individual provider Active NPI

Norman Lee, PHD

  • Psychologist
  • Suwanee, GA
National Provider Identifier
1689736175
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003287 Issued in GA
Practice address
1134 Satellite Blvd NW
Suite 100a
Suwanee, GA 30024-4370
Phone
(678) 878-3559
Fax
(678) 878-3556
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X PSY003287 GA Primary

Addresses

Primary practice location

1134 Satellite Blvd NW
Suite 100a
Suwanee, GA 30024-4370

Mailing address

1134 Satellite Blvd NW
Suite 100a
Suwanee, GA 30024-4370
Phone (678) 878-3559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140509000209 GA Practitioner - Clinical Psychologist 9234362674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1134 Satellite Blvd NW
Suite 100a
Suwanee, GA 30024-4370

1134 Satellite Blvd NW
Suite 100a
Suwanee, GA 30024-4373
Phone (678) 878-3559

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY003287GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Neuropsychology, LLC CurrentSince Feb 28, 2014 Accepting new patients

Locations

1134 Satellite Blvd NW
Ste 100A
Suwanee, GA 30024
Phone (678) 878-3559

Organizations & group practices 1

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1689736175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 SATELLITE BLVD NW",
            "address_2": "SUITE 100A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244370",
            "telephone_number": "678-878-3559",
            "fax_number": "678-878-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 SATELLITE BLVD NW",
            "address_2": "SUITE 100A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244370",
            "telephone_number": "678-878-3559",
            "fax_number": "678-878-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NORMAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.