Jacob C Lee, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

227280 Issued in HI

Practice address

1164 Bishop St Ste 1611
Honolulu, HI 96813-2816

Phone

(808) 261-7792

NPI assigned

Apr 11, 2018

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

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neuropsychiatry

Education

University of Missouri, Kansas City, School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Psychiatric TherapeuticsGroup PAC ID 0042478414, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Psychiatric Therapeutics

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1285920595
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1790282259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SOUTH ST APT 3313",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135937",
            "telephone_number": "636-368-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 BISHOP ST STE 1611",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132816",
            "telephone_number": "808-261-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082776",
            "country_code": "US",
            "telephone_number": "816-512-7439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W 19th Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082026",
            "country_code": "US",
            "telephone_number": "816-512-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JACOB",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "227280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg W. Lee, MS, CCC-SLP
• Gregory Y. Lee
• Hyeji Lee
• Ina B Lee
• Irwin Kwai Mun Lee, M.D.
• Jamie Lee, DPT
• Jannis Lee
• Jayna Lee, P.T.
• Jeffrey Brian Lee, M.D.
• Jeffrey Flattery Lee, D.C.

• Child & Adolescent Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Child & Adolescent Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; 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.