Active NPI
Robert Lee
- Psychologist
- Exton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017741
- Practice address
- 467 Creamery Way
Exton, PA 19341-2508 - Phone
- (610) 363-1488
- NPI assigned
- Nov 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017741 | PA | Primary |
Addresses
Primary practice location
467 Creamery Way
Exton, PA 19341-2508
Mailing address
482 S Landmark Ave
Bloomington, IN 47403-5000
Phone (812) 333-8474
Other practice location 1
482 S Landmark Ave
Bloomington, IN 47403-5000
Phone (812) 333-8474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
482 S Landmark Ave
Bloomington, IN 47403-5000
Phone (812) 333-8474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Spencer PHD HSPP PC | Current | Accepting new patients |
Locations
482 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-8474
1312 W Arch Haven Ave
Ste A
Bloomington, IN 47403
Phone (812) 333-8474
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bloomington, IN
- NPI 1932331345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714867200000",
"number": "1992102602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035000",
"telephone_number": "812-333-8474",
"fax_number": "812-961-3804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 CREAMERY WAY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412508",
"telephone_number": "610-363-1488"
}
],
"practiceLocations": [
{
"address_1": "482 S Landmark Ave",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474035000",
"country_code": "US",
"telephone_number": "812-333-8474",
"fax_number": "812-961-3804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-24",
"last_updated": "2024-05-05",
"certification_date": "2024-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.