Active NPI
James Tae Suk Rhyee, MD
- Psychiatry Physician
- Flint, MI
National Provider Identifier
1104823749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- JR037781
- Practice address
- 5039 Villa Linde Pkwy
Ste 30
Flint, MI 48532-3450 - Phone
- (810) 732-8451
- Fax
- (810) 732-8980
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | JR037781 | MI | Primary |
Addresses
Primary practice location
5039 Villa Linde Pkwy
Ste 30
Flint, MI 48532-3450
Mailing address
5039 Villa Linde Pkwy
Ste 30
Flint, MI 48532-3450
Phone (810) 732-8451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2632697 | Medicaid | MI |
Other names 1
- Mr. Tae Suk Rhyee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JR037781 | MI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1104823749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5039 VILLA LINDE PKWY",
"address_2": "STE 30",
"city": "FLINT",
"state": "MI",
"postal_code": "485323450",
"telephone_number": "810-732-8451",
"fax_number": "810-732-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5039 VILLA LINDE PKWY",
"address_2": "STE 30",
"city": "FLINT",
"state": "MI",
"postal_code": "485323450",
"telephone_number": "810-732-8451",
"fax_number": "810-732-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHYEE",
"first_name": "JAMES",
"middle_name": "TAE SUK",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "JR037781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2632697",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAE",
"last_name": "RHYEE",
"middle_name": "SUK",
"prefix": "MR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.