Dr. Donald R Lee-Edwards PH.D, LP

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

4053692 Issued in NY

Legal business name

DR. DONALD R LEE-EDWARDS PH.D, LP

Practice address

255 Gordon St
Staten Island, NY 10304-1943

Phone

(347) 500-7785

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Donald R Lee-Edwards, PH.D,LPNPI 1871852699

Title

Owner

Phone

(347) 500-7785

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald R Lee-Edwards, PH.D,MD,LP

  • Clinical Psychologist
  • Staten Island, NY
  • NPI 1871852699
  NPD (past) Authorized official
• Jefferson Taveras, LCSW

  • Social Worker
  • Staten Island, NY
  • NPI 1619212883
  NPD (past)
• Thomas L Wilson, RN

  • Case Management Registered Nurse
  • Staten Island, NY
  • NPI 1801130489
  NPD (past)

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1710252127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GORDON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041943",
            "telephone_number": "347-500-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GORDON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041943",
            "telephone_number": "347-500-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DONALD R LEE-EDWARDS PH.D, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "LEE-EDWARDS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-500-7785",
        "authorized_official_credential": "PH.D,LP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "4053692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Alan Meyerberg
• Dr. Carl Sceusa M.D. and Dr. James Lamia M.D.
• Dr. Christina Dephilips. Nurse Practitioner in Family Health PLLC
• Dr. Clifford B. Fisch, PSYD PC
• Dr. Debra May DC PC
• Dr. Evan Abrahams DMD
• Dr. John Graziano DDS.
• Dr. R. Mostafavi, Ophthalmologist PC
• Dr. Rimma Danov Neuropsychologist, PC
• Dr. Yang Foot & Ankle Surgery P.C.

• Adult Mental Health Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.