KA WING ATHENE LEE


Address: 345 Blackstone Blvd, Providence, RI 02906-4800
Phone: 4014556200

KA WING ATHENE LEE (NPI# 1518349620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518349620
Entity Type Individual
Full Name KA WING ATHENE LEE
Other Name ATHENE K.W. LEE
Credential PH.D.
Practice Address 345 Blackstone Blvd
Providence
RI 02906-4800
Practice Telephone 4014556200
Enumeration Date 2015-06-24
Last Update Date 2015-11-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PS01482 RI Behavioral Health & Social Service Providers

Office Location

Street Address 345 BLACKSTONE BLVD
City PROVIDENCE
State RI
Zip Code 02906-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942203690 Andrew Seth Rosenzweig Psychiatry & Neurology 345 Blackstone Blvd, Rm. 232 2nd Floor Annex Building, Providence, RI 02906-4800 2005-05-24
1356940860 Diane Medeiros Gomes Pharmacist 345 Blackstone Blvd, Providence, RI 02906-4800 2020-10-26
1013528199 Michael Gunson Physician Assistant 345 Blackstone Blvd, Providence, RI 02906-4800 2020-08-12
1902423775 Elyssa Sham Psychiatry & Neurology 345 Blackstone Blvd, Providence, RI 02906-4800 2020-06-28
1407472400 Amy Rebecca Johnson Psychiatry & Neurology 345 Blackstone Blvd, Providence, RI 02906-4800 2020-06-25
1669096772 Olivia Hunt Psychiatry & Neurology 345 Blackstone Blvd, Providence, RI 02906-4800 2020-06-04
1922622125 Carla Julia Hasson Psychiatry & Neurology 345 Blackstone Blvd, Providence, RI 02906 2020-06-03
1023632395 Micah Benjamin Duggins-warf Psychiatry & Neurology 345 Blackstone Blvd, Providence, RI 02906-4800 2020-06-03
1982228060 Armond Collins Psychiatry & Neurology 345 Blackstone Blvd, Providence, RI 02906-4800 2020-06-03
1508485301 Brian Charles Castelluccio Clinical Neuropsychologist 345 Blackstone Blvd, Providence, RI 02906-4800 2020-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245175 Birdsong Traditional Medicine, LLC Acupuncturist 148 Waterman St. Ground Level, Providence, RI 02906 2020-08-13
1881218071 Madison Pomerantz Psychiatry & Neurology 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 2020-06-03
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689299661 Laura Elizabeth Korthauer Gilmour Clinical Neuropsychologist 110 Lockwood St Ste 430, Providence, RI 02903-4815 2020-06-15
1992339501 Carmen G Armengol Clinical Neuropsychologist 58 Rochambeau Ave, Providence, RI 02906-1908 2020-02-24
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
1902329667 Neuroperformance Group, L.l.c Clinical Neuropsychologist Two Regency Plaza, Suite 3, Providence, RI 02903 2017-07-24
1871856484 Rachel K Baldwin Clinical Neuropsychologist 355 Hope Street, 2nd Floor, Unit 6, Providence, RI 02906 2012-06-19
1932338951 Melissa Perkins-banas Clinical Neuropsychologist 260 W Exchange St Ste 210, Providence, RI 02903-1000 2009-07-12
1578570735 Steven J. Hirsch Clinical Neuropsychologist 1 Richmond Sq Ste 104c, Providence, RI 02906-5154 2006-08-01
1508485301 Brian Charles Castelluccio Clinical Neuropsychologist 345 Blackstone Blvd, Providence, RI 02906-4800 2020-04-11
1770130692 Louisa Isoud Thompson Clinical Neuropsychologist 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 2019-08-26
1336608843 Sarah Catherine Pillemer Clinical Neuropsychologist 146 W River St Ste 11a, Providence, RI 02904-2609 2019-03-14
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City PROVIDENCE
Zip Code 02906

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Dataset Information

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.

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