DR. MARK L LEE (NPI# 1992007785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992007785 |
| Entity Type | Individual |
| Full Name | DR. MARK L LEE |
| Credential | PH.D. |
| Practice Address |
24511 W Jayne Ave Coalinga State Hospital Coalinga CA 93210-9503 |
| Mailing Address |
Po Box 5000 Coalinga CA 93210-5000 |
| Practice Telephone | 5599354300 |
| Mailing Telephone | 5599354300 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2012-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 23082 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1629466032 | Mark Lee | Pharmacist | 100 Forest St, Closter, NJ 07624-1619 | 2015-01-07 |
| 1619028255 | Mark Lee | Emergency Medicine | 315 Avalon Way, Thomasville, GA 31792-1902 | 2007-01-12 |
| 1184799595 | Mark Ellis Lee | Chiropractor | 116 N Lindsay Rd, Suite 7, Mesa, AZ 85213 | 2006-11-21 |
| 1528079969 | Mark Keith Lee | Internal Medicine | 100 Lantana Road, Suite 202, Crossville, TN 38555-1903 | 2006-08-10 |
| 1285644682 | Mark W Lee | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| 1992727382 | Mark David Lee | Chiropractor | 1590 Clingan Ridge Dr Nw, Cleveland, TN 37312-3650 | 2006-07-24 |
| 1861413536 | Mark Robert Lee | Neurological Surgery | 40 Medical Park Ste 508, Wheeling, WV 26003 | 2006-07-21 |
| 1588696819 | Mark Y Lee | Emergency Medicine | 2601 E Chapman Avenue, Orange, CA 92869 | 2006-07-07 |
| 1669400172 | Mark Robert Lee | Optometrist | 8937 W Sahara Ave, Suite A, Las Vegas, NV 89117-5883 | 2006-06-30 |
| Street Address |
24511 W JAYNE AVE COALINGA STATE HOSPITAL |
| City | COALINGA |
| State | CA |
| Zip Code | 93210-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753956 | Jong Yeoung Moon | Internal Medicine | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2005-10-11 |
| 1649815580 | Brittany Shaffer | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2019-11-14 |
| 1093289860 | David Aitken Jr. | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2019-01-15 |
| 1811479173 | Thai-son Nguyen | Pharmacist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-09-04 |
| 1740760461 | Jeffrey Jay Davis | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-08-21 |
| 1114415312 | Alynna Pena | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210 | 2018-04-24 |
| 1770070922 | Kevin John Miller | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-13 |
| 1366949687 | Destarte Lindaine Good | Counselor | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-12 |
| 1215434543 | Jheanett Portobanco | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-12 |
| 1780181222 | Department of State Hospital Coalinga | Clinic/Center | 24511 W Jayne Ave, Coalinga, CA 93210-9516 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684257 | Corrections and Rehabilitation | Pharmacy | 24863 W. Jayne Avenue, Coalinga, CA 93210 | 2020-03-12 |
| 1710524293 | Harpreet Kaur Badhesha | Registered Nurse | 191 E Polk St, Coalinga, CA 93210 | 2019-12-04 |
| 1669019139 | Avenal Community Health Center | Clinic/Center | 191 E Polk St., Coalinga, CA 93210 | 2019-12-04 |
| 1194218503 | Elizabeth Armstrong | Registered Nurse | 400 W Forest Ave, Appartment # 133, Coalinga, CA 93210 | 2018-06-11 |
| 1003151713 | Porfirio Ramos | Pharmacist | 24511 W. Jayne Avenue, Coalinga State Hospital Pharmacy Department, Coalinga, CA 93210 | 2012-12-06 |
| 1548504251 | Tonya Kay Green | Pharmacist | 265 Forrest Street, Coalinga, CA 93210 | 2012-11-19 |
| 1205105772 | Ratana Yun | Pharmacist | 24863 W. Jayne Ave, Pvsp Pharmacy Department, Coalinga, CA 93210 | 2011-12-29 |
| 1326374166 | Valerie Ann Kelly | Social Worker | 24683 W. Jayne Ave, Coalinga, CA 93210 | 2009-10-29 |
| 1427298850 | Michael Torres Rodriguez I | Counselor | 25863 Jayne Avenue, Coalinga, CA 93210 | 2009-02-25 |
| 1659537819 | Ikumi Hirashima Bisbee | Registered Nurse | 2455 W. Jayne Ave., Coalinga, CA 93210 | 2008-08-06 |
| Find all providers in zip 93210 | ||||
| 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 |
|---|---|---|---|---|
| 1780994863 | Dr Bonnie Wagner | Psychologist | 194 E Elm Ave, Coalinga, CA 93210-2800 | 2010-10-07 |
| 1063682664 | William Fermin Alvarez | Psychologist | 24863 Jayne Avenue, Coalinga, CA 93210-8500 | 2008-03-10 |
| 1194908962 | Joseph Bacchus | Psychologist | 24511 W. Jayne Ave., Coalinga, CA 93210 | 2007-12-14 |
| 1619907458 | Virginia H. Greer | Psychologist | 24511 West Jayne Avenue, Coalinga, CA 93210-5000 | 2006-07-04 |
| 1114415312 | Alynna Pena | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210 | 2018-04-24 |
| 1770070922 | Kevin John Miller | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-13 |
| 1215434543 | Jheanett Portobanco | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-12 |
| 1396242855 | Christopher Stack | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-11 |
| 1174020796 | Lizette Barrientos | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-10 |
| 1932601622 | Jordn Hopkins | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210 | 2018-03-08 |
| Find all providers in COALINGA | ||||
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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.