Jessica Lee, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

JESSICA LEE, PLLC

Doing business as

Clary Clinic

Practice address

1411 W Saint Germain St Ste 202
Saint Cloud, MN 56301-4180

Phone

(320) 761-3644

NPI assigned

Nov 15, 2023

Last updated

Nov 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Louise Lee, PSYDNPI 1982249009

Title

Neuropsychologist

Phone

(320) 761-3644

Specialties & licenses 3

Addresses

Other names 1

• Clary Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Louise Lee, PSYD, LP

  • Clinical Psychologist
  • Saint Cloud, MN
  • NPI 1982249009
  Medicare reassignment NPD Authorized official
• Emily Marie Luitjens, MS, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Waite Park, MN
  • NPI 1245587252
  Medicare reassignment NPD
• Carrie Gapinski, MSW, LICSW

  • Clinical Social Worker
  • Saint Cloud, MN
  • NPI 1043086465
  NPD

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1376318873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W SAINT GERMAIN ST STE 202",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W SAINT GERMAIN ST STE 202",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014180",
            "telephone_number": "320-761-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "320-761-3644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clary Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Jensen, OTR/L
• Tanya Ann Jensen
• Alexandra Jae Jenson, PHARM. D
• Joseph John Jerkovich, BC-HIS
• Logan Jesperson
• Amanda Jimenez Sylla
• Tara Amelia Jindra, REGISTERED NURSE
• Jka5 Enterprises (Amdahl Hearing)
• Megann A. Jobin
• Mariah Lynn Johannes

• Clinical Neuropsychologist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.