Jin Lee, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

TP043-443 Issued in NJ

Practice address

29 Route 34 N
Colts Neck Consulting Group
Colts Neck, NJ 07722-1555

Phone

(732) 780-6363

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Andrew Lee Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Empowering Minds Counseling Center Limited Liability Company

  • Clinical Social Worker
  • Metuchen, NJ
  • NPI 1922710094

  Psychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1396945721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GRAND ST",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792144",
            "telephone_number": "973-224-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ROUTE 34 N",
            "address_2": "COLTS NECK CONSULTING GROUP",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221555",
            "telephone_number": "732-780-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "TP043-443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Joanne Leader, AGNP-C
• Cassandra P. Leahy, RN, MSN, LCCE, IBCLC
• Joanne Lucille Leone, PH.D.
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• Jaclyn Ann Little, BCBA
• Alexandria Milagros Lopez
• Lotus Blossom Psychotherapy, LLC.

• Psychologist in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.