DR. SHIN JAE LEE (NPI# 1932110319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932110319 |
| Entity Type | Individual |
| Full Name | DR. SHIN JAE LEE |
| Credential | M.D. |
| Practice Address |
1400 Tod Ave Nw Warren OH 44485-2483 |
| Mailing Address |
30 E Juniper Ln Moreland Hills OH 44022-1376 |
| Practice Telephone | 3303920311 |
| Mailing Telephone | 4402479520 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35039468L | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699003921 | Shin Ji Lee | Specialist | 866 2nd Ave, New York, NY 10017-2905 | 2009-11-24 |
| 1134581598 | Shin Wook Lee | Psychiatry & Neurology | 87 Route 17 North, Maywood, NJ 07607 | 2016-03-24 |
| 1225092323 | Shin Y. Lee | Counselor | 17215 Studebaker Rd, Suite 300, Cerritos, CA 90703-2548 | 2006-04-14 |
| 1669433561 | Shin Lee | Anesthesiology | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2006-03-30 |
| 1548246598 | Shin W Lee | Anesthesiology | 2635 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2005-12-21 |
| 1265426670 | Shin O. Lee | Anesthesiology | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2005-08-31 |
| Street Address |
1400 TOD AVE NW |
| City | WARREN |
| State | OH |
| Zip Code | 44485-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003904954 | Matthew Robert Creed | Physical Therapist | 1400 Tod Ave Nw, Warren Va Clinic, Warren, OH 44485-2483 | 2006-10-10 |
| 1174617468 | Veterans Health Administration | Clinic/Center | 1400 Tod Ave Nw, Warren, OH 44485-2483 | 2006-10-03 |
| 1831205038 | Kathryn Lucille Heffinger | Social Worker | 1400 Tod Ave Nw, Warren, OH 44485-2483 | 2006-08-21 |
| 1659383933 | Linda Mcnair | Social Worker | 1400 Tod Ave Nw, Warren, OH 44485-2483 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1730576315 | Jeanetta Chatmon | Community Health Worker | 1447 Kensington St. Nw, Warren, OH 44485 | 2015-04-21 |
| 1003201351 | Laneka Oliver | Home Health | 1655 Denison Ave, Warren, OH 44485 | 2015-04-03 |
| 1437401155 | Rhoda Darlene Killingworth | Nurse's Aide | 1510 Arthur Dr Nw, Warren, OH 44485 | 2012-10-04 |
| 1477844033 | Lakshmi Padmanabhan | Pharmacist | 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 | 2011-04-29 |
| 1225332422 | Dashah Brendae Adams | Licensed Practical Nurse | 3270 Dunstan Dr. Nw, Warren, OH 44485 | 2011-01-03 |
| 1982854188 | Deanna Lynne Nussle | Registered Nurse | 1480 Tod Ave, Warren, OH 44485 | 2008-09-24 |
| 1003093170 | Kila E Mcghee | Home Health | 1108 Tod Ave Nw, Warren, OH 44485 | 2008-01-30 |
| 1639372816 | Stella L Reese | Home Health Aide | 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 | 2007-06-06 |
| 1417016239 | Laura Marie Buck | Counselor | Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 | 2006-12-07 |
| Find all providers in zip 44485 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1952727323 | Shilin R Pandya | Psychiatry & Neurology | 27 Mountain Blvd Ste 3, Warren, NJ 07059-5605 | 2014-03-10 |
| 1376688770 | David Schwartz Md PC | Psychiatry & Neurology | 12434 12 Mile Road, Suite 204, Warren, MI 48093 | 2007-02-21 |
| 1730192832 | Anthony Petrilli | Psychiatry & Neurology | 27550 Schoenherr Rd, Suite 300, Warren, MI 48088-4798 | 2006-08-14 |
| 1578575106 | Chilakamarri Ramesh | Psychiatry & Neurology | 11900 E Twelve Mile Rd, Suite #111, Warren, MI 48093-3472 | 2006-08-12 |
| 1740206168 | Lily Ann Marie Tencza | Psychiatry & Neurology | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2006-07-15 |
| 1780649921 | Eleanor Judith Kulis | Psychiatry & Neurology | 29856 Schoenherr Rd, Ste IIi, Warren, MI 48088 | 2006-04-19 |
| 1578528725 | Barb Thielman Beebe | Psychiatry & Neurology | 29856 Schoenherr Road, Suite IIi, Warren, MI 48093 | 2006-04-19 |
| 1144206087 | Brahmaiah Tandra | Psychiatry & Neurology | 8577 E Market St, Warren, OH 44484-2345 | 2005-12-22 |
| 1215921168 | Joseph Edward Terence Kavanagh | Psychiatry & Neurology | 2660 South St Se, Warren, OH 44483-6230 | 2005-09-07 |
| Find all providers in WARREN | ||||
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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.