DR. KELLY C LEE (NPI# 1083616874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083616874 |
Entity Type | Individual |
Full Name | DR. KELLY C LEE |
Credential | PHARM.D., BCPP |
Practice Address |
140 Arbor Drive San Diego CA 92103-0000 |
Mailing Address |
9500 Gilman Drive Mc 0714 La Jolla CA 92093-0714 |
Practice Telephone | 6192993510 |
Mailing Telephone | 8588223462 |
Mailing Fax Number | 8588226857 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2009-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
51900 | CA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
1114392594 | Kelly Ann Lee | Nurse Practitioner | 405 Columbine Ct, Cranberry Township, PA 16066-3201 | 2015-12-10 |
1447586532 | Kelly Jeanette Lee | Marriage & Family Therapist | 200 Spring Dr, Mt Washington, KY 40047-7768 | 2009-10-23 |
1619008034 | Kelly Kyung A. Lee | Dentist | 2211 E. 7th St., Long Beach, CA 90804 | 2007-03-08 |
1124647086 | Kelly Jieun Lee | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # Mc7792, San Antonio, TX 78229-3901 | 2020-04-10 |
1134615339 | Kelly Lee | Dentist | 10195 N Oracle Rd Ste 111, Oro Valley, AZ 85704-8751 | 2018-07-11 |
1215421649 | Kelly Lee | Occupational Therapist | 255 E Bonita Ave, Pomona, CA 91767-1923 | 2018-06-19 |
1316473820 | Kelly Lee | Behavior Technician | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2017-05-03 |
1659805810 | Kelly Lee | Pharmacist | 801 Traeger Ave, San Bruno, CA 94066-3048 | 2017-04-14 |
1841722279 | Kelly M Lee | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2017-04-03 |
Street Address |
140 ARBOR DRIVE |
City | SAN DIEGO |
State | CA |
Zip Code | 92103-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588000491 | Ronak Ramesh Jhaveri | Psychiatry & Neurology | 140 Arbor Drive, #0851, San Diego, CA 92103-2007 | 2013-05-18 |
1093923922 | Velma Vernay Tolan I | Counselor | 140 Arbor Drive, Uc San Diego, Department of Psychiatry, San Diego, CA 92103-2207 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
Find all providers in zip 92103 |
Taxonomy Code | 1835P1300X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Psychiatric |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639170053 | Stephanie Peck-wheeler | Pharmacist | 3851 Rosecrans St, Ms P-507-j, San Diego, CA 92110-3115 | 2005-08-09 |
1073511390 | Michael L. Ross | Pharmacist | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2005-07-11 |
1528255338 | Danielle Kay Strack | Pharmacist | 200 W Arbor Dr, Uc San Diego Health System #8765, San Diego, CA 92103-9000 | 2007-09-26 |
1013947647 | Lisa Arai | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-07-03 |
1649227752 | Benjamin Robert Dishman | Pharmacist | 3350 Lajolla Village Dr., San Diego, CA 92161-0001 | 2006-05-27 |
1932108131 | Jonathan Lacro | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205457918 | Abdulla Nooristani | Pharmacist | 3630 Business Dr Ste D, Sacramento, CA 95820-2179 | 2020-05-04 |
1811534878 | Susan Lee | Pharmacist | 9362 Canterbury Ln, Garden Grove, CA 92841-3415 | 2019-12-09 |
1669963294 | Geoffrey Charles Henrietta | Pharmacist | 19205 Almond Rd, Castro Valley, CA 94546-3033 | 2018-05-18 |
1689034498 | Meredyth Keast-devine | Pharmacist | 4875 Shadow Canyon Rd Bldg B, Templeton, CA 93465-9714 | 2016-03-07 |
1922330638 | Christopher Ching | Pharmacist | 1380 Howard St # 130, San Francisco, CA 94103-2638 | 2010-02-04 |
1588856850 | Luriko Jean Ajari | Pharmacist | 2356 Sutter Street, Fourth Floor, San Francisco, CA 94115-1648 | 2007-08-10 |
1104020841 | Mark David Watanabe | Pharmacist | 1380 Howard St Rm 130, San Francisco, CA 94103 | 2007-06-14 |
1568672400 | Van Viet Do | Pharmacist | 2418 Hummel Ct, San Jose, CA 95148-2510 | 2007-05-22 |
1861610693 | Bruce David Miller | Pharmacist | 3057 S Higuera St, Spc # 53, San Luis Obispo, CA 93401-6625 | 2007-04-24 |
1316009830 | Michael Francis Pondrom | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2006-12-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.