JACK LEE (NPI# 1669954749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669954749 |
| Entity Type | Individual |
| Full Name | JACK LEE |
| Practice Address |
465 Grand St Fl 2 New York NY 10002-4800 |
| Practice Telephone | 2124201970 |
| Mailing Telephone | 2124201970 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518985886 | Jack I Lee | Dentist | 961 N Milliken Ave Ste 103, Ontario, CA 91764-5022 | 2006-07-17 |
| 1538653217 | Jack Lee | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-5400 | 2018-06-18 |
| 1447673751 | Jack Jenchieh Lee | Pharmacist | 2900 S Pacific Ave, Yuma, AZ 85365-3500 | 2014-01-23 |
| 1083675318 | Jack Lee | Specialist | 245 Union Ave, 2c, Bridgewater, NJ 08807-3064 | 2006-03-28 |
| Street Address |
465 GRAND ST FL 2 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10002-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174769814 | Jodi Leigh Reichlin | Occupational Therapist | 465 Grand St Fl 2, New York, NY 10002-4800 | 2008-12-31 |
| 1134752959 | Teresa Wu | Case Management | 465 Grand St Fl 2, New York, NY 10002-4800 | 2020-02-20 |
| 1730722661 | Marcus Muamba | Social Worker | 465 Grand St Fl 2, New York, NY 10002-4800 | 2019-10-23 |
| 1639730021 | Maria Davis | Case Manager/Care Coordinator | 465 Grand St Fl 2, New York, NY 10002-4800 | 2019-06-26 |
| 1346807971 | Shoshana Bobker | Nutritionist | 465 Grand St Fl 2, New York, NY 10002-4800 | 2019-05-20 |
| 1598236507 | Nancy Chen | Case Manager/Care Coordinator | 465 Grand St Fl 2, New York, NY 10002-4800 | 2018-12-17 |
| 1982106522 | Community Assistance Resources and Extended Services, Inc. | Home Health | 465 Grand St Fl 2, New York, NY 10002-4800 | 2018-02-28 |
| 1336651777 | Chiehyue Ma | Specialist | 465 Grand St Fl 2, New York, NY 10002-4800 | 2017-10-25 |
| 1306357827 | Alison Tavara | Specialist | 465 Grand St Fl 2, New York, NY 10002-4800 | 2017-10-24 |
| 1093227530 | Elaine Cheng | Specialist | 465 Grand St Fl 2, New York, NY 10002-4800 | 2017-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776507 | Betances Health Center | Dietitian, Registered | 280 Henry Street, New York, NY 10002 | 2020-07-06 |
| 1558996041 | John X Wang Acupuncture PC | Acupuncturist | 27 East Broadway, 6fl, New York, NY 10002 | 2020-03-05 |
| 1962044776 | Min Lin | Student in an Organized Health Care Education/Training Program | 44-46 Market St Apt 6a, New York, NY 10002 | 2019-10-14 |
| 1184274540 | Brittany Irby | Community Health Worker | 189 Eldridge Street, New York, NY 10002 | 2019-09-18 |
| 1528558616 | Center for All Abilities, Inc. | Music Therapist | 136 Henry Street, New York, NY 10002 | 2018-05-14 |
| 1811490501 | Haishuang Huang | Health Educator | 87 Bowery, Fl 1, New York, NY 10002 | 2018-03-09 |
| 1174031546 | Vanessa Lisa Cruz | Specialist | 211 Eldridge Street, 3d, New York, NY 10002 | 2018-01-18 |
| 1295243889 | Robert Shum | Peer Specialist | 275 Cherry Street Apt.7a, New York, NY 10002 | 2018-01-17 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1548780893 | Sana Khan | Student in an Organized Health Care Education/Training Program | 90 Rivington St, New York, NY 10002 | 2017-06-27 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1346852514 | Alicia Eminia Ramirez | Psychologist | 319 E 14th St Apt 1b, New York, NY 10003-4227 | 2020-08-19 |
| 1386253144 | Rachel L Adams | Psychologist | 270 Fort Washington Ave Apt 42, New York, NY 10032-1310 | 2020-07-28 |
| 1588281851 | Rachel Lynn Goldman | Psychologist | 315 E 62nd St Rm 5, New York, NY 10065-7767 | 2020-07-02 |
| 1558987941 | Kevin Rustam | Psychologist | 100 W 18th St Apt 5f, New York, NY 10011-5475 | 2020-06-22 |
| 1285250035 | Yaakov Weiner | Psychologist | 215 W 108th St Apt B2, New York, NY 10025-2982 | 2020-06-17 |
| 1790308864 | Ayelet Boussi | Psychologist | 270 Lafayette St Ste 702, New York, NY 10012-3384 | 2020-05-24 |
| 1740803089 | Ronald Joseph Saleh | Psychologist | 203 W 107th St Apt 9b, New York, NY 10025-3026 | 2020-05-21 |
| 1366062440 | Emily Bridget-polidore Reese | Psychologist | 11 Jay St Apt 3, New York, NY 10013-2847 | 2020-04-20 |
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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.