Erik Lee, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

202100624NP-PP Issued in OR

Practice address

10260 SW Greenburg Rd FL 4
Tigard, OR 97223-5500

Phone

(888) 923-5486

Fax

(866) 225-9111

NPI assigned

May 2, 2013

Last updated

Jul 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erik.lee.p1@direct.grandronde.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Well Coast Psychiatric Inc. a Nursing Corp

  dba Celium Healthcare

  • Psychiatry Physician
  • Tigard, OR
  • NPI 1841784725

  CA, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Erik Lee, Pmhnp

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
  • NPI 1093249930
  NPD (past) Authorized official
• Felton Institute

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1417222084
  NPD (past)

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1699110890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 EL CAJON BLVD STE B-458",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153922",
            "telephone_number": "619-374-8131",
            "fax_number": "415-366-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD FL 4",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235500",
            "telephone_number": "888-923-5486",
            "fax_number": "866-225-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 Market St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025404",
            "country_code": "US",
            "telephone_number": "619-374-8131",
            "fax_number": "415-366-0381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10620 Treena St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311140",
            "country_code": "US",
            "telephone_number": "619-374-8131",
            "fax_number": "415-366-0381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ERIK",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002431",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202100624NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1841784725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Elizabeth Leavitt
• Ryan J Leclaire, D.D.S.
• Katie J Lederle, B.A.
• Alexander Lee, DMD
• Carma J Lee, MD
• Joyce L Lee, M.D.
• Junko Lee, FNP
• Kwok S Lee
• Latasha Lee
• Macson Yen Lee, O.D.

• Psychiatric/Mental Health Nurse Practitioner in Tigard, OR
• Providers in Tigard, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.

Verify at the official NPI Registry.