YENJU LEE (NPI# 1831696335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831696335 |
| Entity Type | Individual |
| Full Name | YENJU LEE |
| Credential | PH.D. |
| Practice Address |
G3230 Beecher Rd Ste 1 Flint MI 48532-3604 |
| Practice Telephone | 8103425656 |
| Mailing Telephone | 8103425656 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301018725 | MI | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Genesys Pkwy, Grand Blanc, MI 48439 | 8106065000 | |
| 2400 Moorpark Ave Ste 300, San Jose, CA 951282680 | 4089752730 |
| Street Address |
G3230 BEECHER RD STE 1 |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255374757 | Nazem Abdelfattah | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2006-06-13 |
| 1265059935 | Prince Duru | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2020-06-29 |
| 1780201459 | Shahin Shafiei | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2020-06-29 |
| 1063038230 | Benjamin Spittler | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2020-06-23 |
| 1861018129 | Ki Yu Kim | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2020-06-23 |
| 1295351500 | Athar Ghannam | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2020-06-23 |
| 1699324509 | Gabriela Ramirez | Psychologist | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2019-09-04 |
| 1184273005 | Yousef Kayyali | Psychologist | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2019-09-04 |
| 1841851987 | Mandeep Sehmbi | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2019-06-27 |
| 1669033700 | Ahmed Qadir | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031680 | Suzanne R Jamail Ph D | Psychologist | 5524 S Saginaw Rd, Flint, MI 48507-4421 | 2015-04-24 |
| 1215343793 | Tamara Lynn Mckay | Psychologist | 1428 W Court St, Flint, MI 48503 | 2014-07-07 |
| 1912324484 | Jessica Moore | Psychologist | 1286 S Linden Rd Ste B, Flint, MI 48532-3457 | 2014-03-24 |
| 1902129943 | Allen Reginald Bellamy | Psychologist | 400 N Saginaw St Ste 201, Flint, MI 48502-2045 | 2010-03-04 |
| 1891973053 | Richard Stuart Mach | Psychologist | 814 S Vernon Ave, Flint, MI 48503-2254 | 2008-02-09 |
| 1942326087 | Jesse Soulia | Psychologist | 1309 S Linden Rd Ste D, Flint, MI 48532-3443 | 2007-03-21 |
| 1447383328 | Ronald Emile Silverman | Psychologist | 1213 Beard Street, Flint, MI 48503-5372 | 2007-03-13 |
| 1376689968 | Robert Bottinelli Phd PC | Psychologist | 2187 S Dye Rd, Flint, MI 48532 | 2007-01-30 |
| 1386744191 | Nicole Jeanette Franklin | Psychologist | G-3200 Beecher Road, Suite Mbi, Flint, MI 48532-3685 | 2006-09-22 |
| 1679675714 | Victorean L Cox | Psychologist | 1172 Robert T Longway Blvd, Flint, MI 48503-1851 | 2006-09-01 |
| Find all providers in FLINT | ||||
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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.