DR. GREGORY P. LEE (NPI# 1063521326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063521326 |
| Entity Type | Individual |
| Full Name | DR. GREGORY P. LEE |
| Credential | PHD |
| Practice Address |
222 W Thomas Rd Ste 315 Phoenix AZ 85013 |
| Mailing Address |
240 W Thomas Rd # 301 Phoenix AZ 85013-4407 |
| Practice Telephone | 6024063671 |
| Mailing Telephone | 6024063671 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 4848 | AZ | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 001130 | GA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1130 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000338434A | 05 | |
| SC | SC MEDICAID | PS0182 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 997 Saint Sebastian Way, Attn: Donna Raiford, Augusta, GA 309012603 | 7067216597 | 7067211459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162155 | Gregory Dongkyu Lee | Ophthalmology | 990 Sanders Rd Ste 100, Cumming, GA 30041-5960 | 2011-06-23 |
| 1831341304 | Gregory Jay Lee | Counselor | 328 Greentrails Dr S, Chesterfield, MO 63017-2917 | 2008-10-16 |
| 1679763692 | Gregory Tse Lee | Radiology | 170 William Street, Dept. of Radiology, Ny Downtown Hospital, New York, NY 10038 | 2007-07-26 |
| 1912044041 | Gregory Scot Lee | Dentist | 4101 Dublin Blvd, Suite D, Dublin, CA 94568-4592 | 2007-01-30 |
| 1154419950 | Gregory K Lee | Chiropractor | 10721 Main St Ste 1500, Fairfax, VA 22030-6910 | 2006-10-10 |
| 1043200959 | Gregory J. Lee | Family Medicine | 1070 Copperfield Dr, Georgetown, IN 47122-9076 | 2005-10-24 |
| 1427057520 | Gregory Allen Lee | Chiropractor | 1408 Atlantic Ave, Benson, MN 56215-1126 | 2005-07-20 |
| 1306317698 | Gregory Lee | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2018-12-11 |
| 1063867968 | Gregory Lee | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2016-04-28 |
| 1407210495 | Gregory Michael Lee | Student in an Organized Health Care Education/Training Program | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2016-04-06 |
| Street Address |
222 W THOMAS RD STE 315 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891344982 | Elsa Baena | Psychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013-4422 | 2019-09-10 |
| 1316504665 | Jennifer Suellen Seeley Mcgee | Clinical Neuropsychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013-4422 | 2019-05-22 |
| 1861950123 | Evan Rubin | Clinical Neuropsychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013-4422 | 2019-03-06 |
| 1467985408 | Danielle Eagan | Clinical Neuropsychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013 | 2017-04-06 |
| 1902351125 | Jessica Schneider | Psychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013-4422 | 2016-08-17 |
| 1275944308 | Tricia Merkley | Clinical Neuropsychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013 | 2014-05-12 |
| 1760554034 | Alexander I Troster | Psychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1750862264 | Focus Neuropsychology Az, Pllc | Clinical Neuropsychologist | 2400 N Central Ave Ste 204, Phoenix, AZ 85004-1341 | 2018-08-22 |
| 1386172732 | Brett Andersen | Clinical Neuropsychologist | 300 W Clarendon Ave Ste 130, Phoenix, AZ 85013-3421 | 2017-05-30 |
| 1164973467 | Neuropsychology Associates, PC | Clinical Neuropsychologist | 1515 E Missouri Ave Ste 110, Phoenix, AZ 85014-2443 | 2016-10-21 |
| 1437524733 | Pinnacle Center, Inc. | Clinical Neuropsychologist | 4423 N 24th St, Phoenix, AZ 85016-5544 | 2015-12-11 |
| 1275969867 | Kiran Amin | Clinical Neuropsychologist | 720 E Peoria Ave, Phoenix, AZ 85020-1575 | 2013-09-16 |
| 1164864161 | Surabhi Yeshwant Patwardhan | Clinical Neuropsychologist | 3550 N Central Ave Ste 1407, Phoenix, AZ 85012-2112 | 2013-07-19 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1295007557 | Robin C Ford | Clinical Neuropsychologist | 4144 N 44th St Ste E, Phoenix, AZ 85018-4260 | 2012-02-02 |
| 1699954800 | Barbara M Maxwell, Phd, Plc | Clinical Neuropsychologist | 11001 N 7th St, 1183, Phoenix, AZ 85020-1142 | 2007-10-24 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. GREGORY P. LEE.
| 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.