Dr John Y Lee Clinical Psychologist

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25158 Issued in CA

Legal business name

DR JOHN Y LEE CLINICAL PSYCHOLOGIST

Practice address

16161 Ventura Blvd
224
Encino, CA 91436-2522

Phone

(818) 631-8349

NPI assigned

Jan 8, 2013

Last updated

Jul 1, 2013By 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. John Y Lee, PHDNPI 1285890087

Title

Ceo

Phone

(818) 631-8349

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• John Young-Hoon Lee, PH.D

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1285890087
  NPD (past) Authorized official

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1548507775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 AURA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244202",
            "telephone_number": "818-631-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16161 VENTURA BLVD",
            "address_2": "224",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362522",
            "telephone_number": "818-631-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN Y LEE CLINICAL PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-631-8349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "25158",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie B Dourthe, MSN, APRN, PMHNP-BC
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• Hollace Dowdy, LMFT
• Kristopher Dowling
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• Dr. Annette Swain, a Psychological Corp
• Dr. Clarita Wisnia
• Dr. Elizabeth Wolfe DDS, Inc.
• Dr. Elizabeth Wolfe, DDS Dental Group

• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.