Organization Active NPI

Jessica Lee Psychological Corporation

Doing business as Brighter Minds Psychological Services

  • Psychologist
  • Irvine, CA
National Provider Identifier
1033766464
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JESSICA LEE PSYCHOLOGICAL CORPORATION
Doing business as
Brighter Minds Psychological Services
Practice address
8 Corporate Park Ste 300
Irvine, CA 92606-5196
Phone
(310) 560-9335
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Jessica Lee
Title
Psychologist
Phone
(310) 560-9335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8 Corporate Park Ste 300
Irvine, CA 92606-5196

Mailing address

1409 Williamsburg St
Tustin, CA 92782-1813

Other identifiers 1

IdentifierTypeStateIssuer
1023482486OtherCANPI

Other names 1

  • Brighter Minds Psychological Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info.brigther@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1033766464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WILLIAMSBURG ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CORPORATE PARK STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065196",
            "telephone_number": "310-560-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LEE PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-560-9335"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023482486",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info.brigther@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "8 Corporate Park Ste 300",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926065196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brighter Minds Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.