Jinsoon Lee

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0004500 Issued in CO

Practice address

10107 Ridgegate Pkwy Ste 310
Lone Tree, CO 80124-5642

Phone

(303) 861-2663

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jin Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jinsoon.lee@hca3.eclinicaldirectplus.com

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.

• Your Pediatric Psychologist, LLC

  • Health Psychologist
  • Denver, CO
  • NPI 1407461189

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1780851709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245642",
            "telephone_number": "303-861-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245642",
            "telephone_number": "303-861-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JINSOON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIN",
            "last_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chanida Lee, DO
• Cristina Ha NA Lee, DO
• Curtis G. Lee, DMD
• Erika M Lee, M.D.
• James Lee, DMD
• Robina Lee, D.O.
• Theresa Lee, M.D.
• Craig R Lehto, PA
• Leo Thomas Leins, D.D.S.
• Juliet Leman, DO

• Clinical Psychologist in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.