Individual provider Active NPI

Lee Stevens, M.D.

  • Psychiatry Physician
  • Bossier City, LA
National Provider Identifier
1982634390
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10160R Issued in LA
Practice address
1007 Gould Dr Ste 1
Bossier City, LA 71111-4971
Phone
(318) 422-7154
Fax
(850) 203-1448
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 10120R LA
Psychiatry Physician 2084P0800X 10160R LA Primary

Addresses

Primary practice location

1007 Gould Dr Ste 1
Bossier City, LA 71111-4971

Mailing address

PO Box 5498
Bossier City, LA 71171-5498
Phone (318) 422-7154

Other practice location 1

5131 ODonovan Dr Ste 300
Baton Rouge, LA 70808-4792
Phone (225) 374-0400

Other identifiers 7

IdentifierTypeStateIssuer
15-46377OtherUNITED BEHAVIORAL
Z58612OtherMABLUE CROSS OF MASS
721351593001OtherHUMANA MILITARY
109294201OtherTXTEXAS MEDICAID
1980706MedicaidLA
005742285990OtherCIGNA
295065OtherTXTEXAS CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20230522001594 AL Practitioner - Psychiatry 9931165651 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10120RLAMDPediatrics Physician
10160RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. Single Specialty CurrentSince May 8, 2023 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince May 8, 2023 Accepting new patients
Red River Behavioral Center LLC Past Accepting new patients
Intensive Specialty Hospital, LLC Past Accepting new patients

Locations

7400 Roper Ln
Daphne, AL 36526
Phone (251) 378-6500

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

2401 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 461-3492

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

Interoperability endpoints

  • Direct secure messaging: lee.stevens@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1982634390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5498",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711715498",
            "telephone_number": "318-422-7154",
            "fax_number": "850-203-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOULD DR STE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114971",
            "telephone_number": "318-422-7154",
            "fax_number": "850-203-1448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 ODonovan Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084792",
            "country_code": "US",
            "telephone_number": "225-374-0400",
            "fax_number": "225-374-0430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "10120R",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "10160R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL",
            "identifier": "15-46377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS",
            "identifier": "Z58612",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MILITARY",
            "identifier": "721351593001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAID",
            "identifier": "109294201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980706",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "005742285990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP",
            "identifier": "295065",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.