Jonathan K Lee, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01485 Issued in RI

Practice address

1454 S County TRL
Suite 2200
East Greenwich, RI 02818-1627

Phone

(401) 606-4415

Fax

(401) 606-1146

NPI assigned

Aug 12, 2011

Last updated

Nov 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1023397619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST",
            "address_2": "SUITE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054513",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 S COUNTY TRL",
            "address_2": "SUITE 2200",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181627",
            "telephone_number": "401-606-4415",
            "fax_number": "401-606-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Erin Leandre, CAGS, LMHC
• Elizabeth Anne Leddy, M.S.
• Anja Lee, LMHC
• Hwasook Lee, DR. OF ACUPUNCTURE
• James Lee, PT, DPT
• Carleigh E Lemay, AU.D
• Andrew J Lemoi, DPM
• Daniella Ann Lennon, PA-C
• Ingrid Leon, ARNP
• Julie Marie Lepage

• Clinical Psychologist in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.