Individual provider Active NPI

Christian Jansen-Yee, PSYD

  • Clinical Psychologist
  • Muskegon, MI
National Provider Identifier
1205980364
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006166 Issued in MI
Practice address
3370 Glade St
Muskegon, MI 49444-2778
Phone
(231) 737-1213
Fax
(231) 737-1218
NPI assigned
Jan 23, 2007
Last updated
Oct 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301006166 MI Primary

Addresses

Primary practice location

3370 Glade St
Muskegon, MI 49444-2778

Mailing address

3370 Glade St
Muskegon, MI 49444-2778
Phone (231) 737-1213

Other identifiers 8

IdentifierTypeStateIssuer
507110OtherMIPREFERRED CHOICES
244735000OtherMIMAGELLAN
680F145160OtherMIBCBS MI
383175556OtherMIASR
7000010001OtherMIPRIORITY HEALTH
P86569OtherMIBCN
OF14516OtherMIVALUE OPTIONS
383175556OtherMIPPOM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000499 MI Practitioner - Clinical Psychologist 2567480288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301006166MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Minds Psychotherapy Services LLC Clinical CurrentSince Oct 13, 2024 Accepting new patients
Christian Jansen-Yee PSYD & Associates PC Clinical CurrentSince May 3, 1994 Accepting new patients

Locations

3370 Glade St
Muskegon Heights, MI 49444
Phone (231) 737-1213

3088 Sheffield St
Ste A
Norton Shores, MI 49441
Phone (231) 737-1213

427 Seminole Rd
Ste 101
Norton Shores, MI 49444
Phone (231) 733-2008

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1205980364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 GLADE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442778",
            "telephone_number": "231-737-1213",
            "fax_number": "231-737-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 GLADE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442778",
            "telephone_number": "231-737-1213",
            "fax_number": "231-737-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN-YEE",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "507110",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "244735000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "680F145160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASR",
            "identifier": "383175556",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "7000010001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P86569",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "OF14516",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "383175556",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.