DR. KEVIN JAIJIN LI (NPI# 1114377926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114377926 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JAIJIN LI |
| Credential | M.D. |
| Practice Address |
940 Belmont St Psychiatr 116-a7 Brockton MA 02301-5596 |
| Mailing Address |
725 Adams St Apt 9 Boston MA 02122-1945 |
| Practice Telephone | 4052239935 |
| Mailing Telephone | 4052239935 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1083863690 | Kevin K Li | Anesthesiology | 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107-6648 | 2008-09-18 |
| 1699302919 | Kevin Li | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Lane 154, Stanford, CA 94305 | 2020-03-25 |
| 1619503653 | Kevin Guan Feng Li | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-03-22 |
| 1629609078 | Kevin Li | Pharmacist | 3099 Bethel Rd Se, Port Orchard, WA 98366-2432 | 2020-02-03 |
| 1609422377 | Kevin Li | Physical Therapist | 6120 W Ogden Ave, Cicero, IL 60804-3743 | 2019-08-17 |
| 1851853709 | Kevin Z Li | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2019-04-01 |
| 1801393335 | Kevin Li | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-04-11 |
| 1912427063 | Kevin Kai Li | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-20 |
| 1881056166 | Kevin Li | Anesthesiology | 9500 Euclid Ave, Cleveland, OH 44195 | 2016-03-24 |
| Street Address |
940 BELMONT ST PSYCHIATR 116-A7 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779011 | Paul Moitoso | Social Worker | 940 Belmont St, 122 - Bldg 3, A-504a, Brockton, MA 02301-5596 | 2006-02-15 |
| 1255938262 | Matthew Janson | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-02 |
| 1861099020 | Erin A Lawrence | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-01 |
| 1720698442 | Ifeoma Laurietta Ugbo | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-08-06 |
| 1255959961 | Abigail Lauraine Munroe | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5568 | 2020-07-09 |
| 1225653173 | Bryanna Morgan Caron | Optometrist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-16 |
| 1134744675 | Marie Eva Dely | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-10 |
| 1255955142 | Daniel Salazar | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-05 |
| 1982227146 | Amelia Colby Rohan | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-22 |
| 1952923526 | Amy Felicia Jones | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1053920256 | Scott Pratt | Student in an Organized Health Care Education/Training Program | 35 Hancock Ave, Brockton, MA 02301-2939 | 2020-07-24 |
| 1437773629 | Samuel Dean | Student in an Organized Health Care Education/Training Program | 425 Pleasant St Ste 1, Brockton, MA 02301-2533 | 2020-06-03 |
| 1073148540 | Jennifer Thim Oung | Student in an Organized Health Care Education/Training Program | 55 Michael Dr, Brockton, MA 02301-6219 | 2020-03-05 |
| 1013566629 | Despina Arabatzis | Student in an Organized Health Care Education/Training Program | 74 Frankton Ave, Brockton, MA 02301-1554 | 2019-09-06 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1205364395 | Amy P Coole | Student in an Organized Health Care Education/Training Program | 103 Commercial St Fl 2, Brockton, MA 02302-3101 | 2017-06-01 |
| 1861930653 | Chelsea Paige Dunstan | Student in an Organized Health Care Education/Training Program | 891 Montello St, Brockton, MA 02301 | 2017-02-01 |
| 1649640418 | Shanice Pullen | Student in an Organized Health Care Education/Training Program | 41 Linnea Ave, Brockton, MA 02301-6425 | 2015-10-05 |
| Find all providers in BROCKTON | ||||
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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.