DR. MICHELLE VAN ETTEN LEE (NPI# 1043425440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043425440 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE VAN ETTEN LEE |
| Credential | PH.D. |
| Practice Address |
University of Michigan Psychological Clinic East Hall 2463, 530 Church St, Suite 2463 Ann Arbor MI 48109-1043 |
| Mailing Address |
4430 Lakeside Ct Ann Arbor MI 48108-9314 |
| Practice Telephone | 7347643471 |
| Practice Fax Number | 7347648128 |
| Mailing Telephone | 7347616048 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301010569 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121968 | Michelle Lee | Technician | 112 Irvington St Sw Apt 203, Washington, DC 20032-1059 | 2020-07-16 |
| 1124654611 | Michelle Lee | Registered Nurse | 1919 Fruitdale Ave Apt I8, San Jose, CA 95128-4931 | 2020-03-17 |
| 1245860261 | Michelle Lee | Social Worker | 925 Mitchell Ln, Evans, GA 30809-5445 | 2020-01-17 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1952817546 | Michelle Lee | Speech-Language Pathologist | 12001 S Naperville Rd, Plainfield, IL 60585-8901 | 2017-12-19 |
| 1699281295 | Michelle Yoon Lee | Pharmacist | 5 Patsy Pl, Great Neck, NY 11023-1448 | 2017-12-18 |
| 1730628710 | Michelle Lee | Home Health | 21000 Lackland Pl, Denver, CO 80249-8530 | 2017-02-23 |
| 1679925598 | Michelle Sohn Lee | Nurse Practitioner | 5920 100th St Sw Ste 26, Lakewood, WA 98499-2751 | 2016-07-02 |
| 1992197818 | Michelle Marie Lee | Registered Nurse | 109 Bowling Ln, Deer Park, NY 11729-6724 | 2015-03-02 |
| 1083003214 | Michelle Lee | Physical Therapy Assistant | 3051 W Cheryllyn Ln # 35, Anaheim, CA 92804-3168 | 2015-01-12 |
| Street Address |
UNIVERSITY OF MICHIGAN PSYCHOLOGICAL CLINIC EAST HALL 2463, 530 CHURCH ST, SUITE 2463 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295940658 | Giovanni Antonio Minonne | Psychologist | University of Michigan Psychological Clinic, 530 Church St, Suite 2463, Ann Arbor, MI 48109-1043 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659669380 | Edward Dewitt Huntley Iv | Psychologist | 1681 Fulmer St, Ann Arbor, MI 48103-2452 | 2011-07-15 |
| 1720276348 | Judith A Russell | Psychologist | 1004 Miner St, Ann Arbor, MI 48103-3124 | 2007-10-09 |
| 1053315960 | Kimberly Chin Bialik | Psychologist | 325 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5721 | 2005-06-09 |
| 1467943654 | Charlotte Elizabeth Dodd | Psychologist | 2350 Washtenaw Ave Ste 3, Ann Arbor, MI 48104-4526 | 2018-05-23 |
| 1437575206 | Michele White | Psychologist | 3840 Packard St Ste 270, Ann Arbor, MI 48108-5008 | 2014-03-17 |
| 1366885352 | Joseph Keller | Psychologist | 2890 Carpenter Rd, Ste. 1600, Ann Arbor, MI 48108-1100 | 2013-04-09 |
| 1366726614 | Bronwyn Murray | Psychologist | 514 E William St, Suite A, Ann Arbor, MI 48104-2446 | 2011-10-05 |
| 1982998084 | Heide I Klumpp | Psychologist | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2011-06-06 |
| 1891028254 | Rebecca Kaufman Sripada | Psychologist | 2800 Plymouth Rd, Bldg 16, 2nd Floor, Ann Arbor, MI 48109-2800 | 2009-09-16 |
| 1972753572 | Sarah Jayne Jonovich | Psychologist | 500 E Washington St, Suite 100, Ann Arbor, MI 48104-2057 | 2008-09-19 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.