Provider Demographics
NPI:1730597808
Name:LEE, JAMES Y (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:Y
Last Name:LEE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7192 KALANIANAOLE HWY STE A143A
Mailing Address - Street 2:STE A-143A #227
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1849
Mailing Address - Country:US
Mailing Address - Phone:415-987-6784
Mailing Address - Fax:
Practice Address - Street 1:FOUR EMBARCADERO CENTER
Practice Address - Street 2:SUITE 1400 #85
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:415-987-6784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-01
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32947103TC0700X
CA2012790101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical