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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS01482 | RI | Behavioral Health & Social Service Providers |
| Street Address |
345 BLACKSTONE BLVD |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4800 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| 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] |
| 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 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.