Paul R. Lessem, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PAUL R. LESSEM, MD, PC

Practice address

26789 Woodward Ave
Suite 210
Huntington Woods, MI 48070-1335

Phone

(248) 547-6733

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Robert Lessem, MD

Title

President

Phone

(248) 547-6733

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1982850608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26789 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701335",
            "telephone_number": "248-547-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26789 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701335",
            "telephone_number": "248-547-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. LESSEM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "LESSEM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-547-6733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1422425-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2606363462",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06363460261",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.