NPIMap

Organization Active NPI

Christian Jansen-Yee PSYD & Associates PC

Doing business as Chris Jansen-Yee PsyD & Associates PC

  • Clinical Psychologist
  • Muskegon, MI
National Provider Identifier
1699763763
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
Legal business name
CHRISTIAN JANSEN-YEE PSYD & ASSOCIATES PC
Doing business as
Chris Jansen-Yee PsyD & Associates PC
Practice address
3370 Glade St
Muskegon, MI 49444-2778
Phone
(231) 737-1213
Fax
(231) 737-1218
NPI assigned
Oct 12, 2005
Last updated
Oct 3, 2008By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Christian Jansen-Yee, PSYDNPI 1205980364
Title
President, Licensed Psychologist
Phone
(231) 737-1213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301013149 MI
Clinical Psychologist 103TC0700X 6301006166 MI Primary
Clinical Social Worker 1041C0700X 6801077069 MI

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 5

IdentifierTypeStateIssuer
0F14516OtherMIVALUE OPTIONS
244735000OtherMIMAGELLAN BEHAVIORAL HEALT
680F14516OtherMIBCBS OF MI
7000010001OtherMIPRIORITY HEALTH
P-86569OtherMIBLUE CARE NETWORK

Other names 1

  • Chris Jansen-Yee PsyD & Associates PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000439 MI Part B Supplier - Clinic/Group Practice 7618995333 Receives reassigned benefits from 3 practitioners
Practice locations: Norton Shores, MI

National Provider Directory

National Provider Directory

Locations

1845 Lakeshore Dr
Muskegon, MI 49441
Phone (231) 759-2441

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

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1699763763",
    "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": {
        "organization_name": "CHRISTIAN JANSEN-YEE PSYD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "JANSEN-YEE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "231-737-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301013149",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006166",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "0F14516",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "244735000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "680F14516",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "7000010001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P-86569",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris Jansen-Yee PsyD & Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.