KRISTIN PARKS LEE (NPI# 1912347873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912347873 |
| Entity Type | Individual |
| Full Name | KRISTIN PARKS LEE |
| Other Name | DR. KRISTIN PARKS |
| Credential | D.O. |
| Practice Address |
1501 Claus Rd Modesto CA 95355-9711 |
| Mailing Address |
3 Turtle Cv Chatham IL 62629-8048 |
| Practice Telephone | 2095576300 |
| Mailing Telephone | 2178016147 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 20A13829 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036.141999 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A13829 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036.141999 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS PHYSICIAN LICENSE | 036.141999 | 01 |
| CA | CALIFORNIA OSTEOPATHIC PHYSICIAN LICENSE | 20A13829 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Lerna Rd S, Mattoon, IL 619389393 | 2172585900 | 2172583676 |
| 2512 Hurst Dr, Mattoon, IL 619389200 | 2172585900 | 2172583676 |
| 319 E Madison St Fl 3, Springfield, IL 627011035 | 2175458000 | |
| 751 N Rutledge St Ste 1700, Springfield, IL 627024968 | 2175458000 |
| Street Address |
1501 CLAUS RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374104 | Melchor Mercado | Psychologist | 1501 Claus Rd, Modesto, CA 95355 | 2005-08-31 |
| 1124654348 | Jaaneali Mehdi Md Inc | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2020-03-19 |
| 1932666112 | William J Greene Md Inc A Professional Medical Corporation | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2019-02-25 |
| 1932610847 | Modesto Mental Health Consultants Inc A Professional Medical Corp | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355 | 2017-10-18 |
| 1629595616 | Rupinder Randhawa Md Inc | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2017-08-29 |
| 1396189791 | William James Greene | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2013-04-29 |
| 1407128275 | Rupinder Randhawa | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2012-02-08 |
| 1487965950 | Nusrat N Malik Md Inc | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2010-06-29 |
| 1467617183 | Sonia Maria Alves | Social Worker | 1501 Claus Rd, Modesto, CA 95355-9711 | 2008-07-22 |
| 1902061625 | Gina M. Machado | Social Worker | 1501 Claus Rd, Building A, Modesto, CA 95355-9711 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538405865 | David Michael Hirchak Jr. | Psychiatry & Neurology | 1505 Claus Road, Modesto, CA 95355-4701 | 2012-12-13 |
| 1104071885 | Jaaneali Mehdi | Psychiatry & Neurology | 1501 Claus Rd Ste F, Modesto, CA 95355-9711 | 2008-11-23 |
| 1164673455 | Juan Antonio Galvez-buccollini Abanto | Psychiatry & Neurology | 3501 Coffee Rd Ste 201, Modesto, CA 95355-1343 | 2008-10-05 |
| 1194974295 | Omer Liran | Psychiatry & Neurology | 1551 Claus Road, Modesto, CA 95355 | 2008-09-12 |
| 1689897365 | Mark Hamilton Henigan | Psychiatry & Neurology | 1729 Tully Rd, Suite Eight, Modesto, CA 95350-4082 | 2007-04-11 |
| 1104986165 | Vinita Wadhwani | Psychiatry & Neurology | 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 | 2006-12-11 |
| 1710050158 | Dao Xuanthi Tran | Psychiatry & Neurology | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2006-11-15 |
| 1588742498 | Gilbert Eggen | Psychiatry & Neurology | 3509 Coffee Rd, Ste D18, Modesto, CA 95355-1358 | 2006-11-01 |
| 1790868834 | Bernardo Joven Mora | Psychiatry & Neurology | 421 E Morris Ave, Modesto, CA 95354-0437 | 2006-10-23 |
| 1306931522 | Sukhnandan Sidhu | Psychiatry & Neurology | 2937 Veneman Ave, Suite A110, Modesto, CA 95356 | 2006-10-04 |
| Find all providers in MODESTO | ||||
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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.