Organization Active NPI

Mary Lee & Associates Limited

  • Clinical Psychologist
  • Olympia Fields, IL
National Provider Identifier
1801919691
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004127 Issued in IL
Legal business name
MARY LEE & ASSOCIATES LIMITED
Practice address
2555 Lincoln Hwy
Suite # 108C
Olympia Fields, IL 60461-1936
Phone
(708) 983-8030
Fax
(708) 283-2544
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Dr. Mary A Lee, PSY.D.
Title
Ceo
Phone
(708) 983-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071004127 IL Primary

Addresses

Primary practice location

2555 Lincoln Hwy
Suite # 108C
Olympia Fields, IL 60461-1936

Mailing address

4710 Lincoln Hwy
Suite # 167
Matteson, IL 60443-2316
Phone (708) 983-8030

Other names 1

  • none Other name

National Provider Directory

National Provider Directory

Locations

2555 Lincoln Hwy
Ste 108C
Olympia Flds, IL 60461
Phone (708) 983-8030

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1801919691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 LINCOLN HWY",
            "address_2": "SUITE # 167",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432316",
            "telephone_number": "708-983-8030",
            "fax_number": "708-283-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 LINCOLN HWY",
            "address_2": "SUITE # 108C",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611936",
            "telephone_number": "708-983-8030",
            "fax_number": "708-283-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LEE & ASSOCIATES LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-983-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia Fields, IL

Sources for this page

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