Jean Lee, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007167 Issued in IL

Practice address

1618 Orrington Ave Ste 316
Evanston, IL 60201-5060

Phone

(847) 347-9964

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Jean Y Lee, Psy D, PLLC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1679409775
  NPD Authorized official
• Neurobehavioral Health Connections, LTD

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1164545836
  NPD (past)
• Robert M Pasen PHD PC

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1821030024
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1265582993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 ORRINGTON AVE STE 316",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015060",
            "telephone_number": "847-347-9964",
            "fax_number": "847-440-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 ORRINGTON AVE STE 316",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015060",
            "telephone_number": "847-347-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Viviana Lee-Rios, LCSW
• Elizabeth M Lee, M.D.
• Hyeji Lee, MD
• Hyo Y Lee, DO
• Jane Chungsun Lee, MD
• Jeffrey Lee, MD
• John Y Lee, ATC, LAT
• Kevin Lee, MD
• Lukuo Lee, MD
• Maerry Lee, MD

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.