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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MIKKI LEE PSY.D.
NPI 1093108714
Psychologist - Clinical in New York, NY

Active since March 05, 2015Opted out of Medicare · through Oct 22, 2026
276 5TH AVE RM 605, NEW YORK, NY 10001(917) 359-3986 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, May 9, 2019, Feb 11, 2016 (3 updates tracked since 2016).

About Dr. Mikki Lee Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIKKI LEE PSY.D. (NPI 1093108714) is an individual clinical provider in New York, New York, licensed in New York (023213) and active in the NPI registry since March 2015. She has opted out of Medicare through October 22, 2026 and maintains a secondary practice location in Astoria.

NPPES Registry Identity

NPI1093108714
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MIKKI LEECredential: PSY.D.
Location Address276 5TH AVE RM 605New York, NY 10001-4527
Mailing Address2381 23rd St Fl 2Astoria, NY 11105-3407 · (917) 359-3986
Phone(917) 359-3986
Sole ProprietorNo
Enumeration DateMarch 5, 2015
Last NPPES UpdateJune 26, 20263 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1093108714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 023213
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
276 5TH AVE RM 605, New York, NY 10001
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Other Names 1

Former Name (1)Dr. Mikki Lee Elembaby Psy.d.

Secondary Practice Location 1

Location 12381 23rd St Fl 2Astoria, NY 11105-3407 · Phone (917) 359-3986

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mikki Lee Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 22, 2024 through October 22, 2026.

Opt-Out Effective DateOctober 22, 2024
Opt-Out In Effect ThroughOctober 22, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYAM ABDULRAZZAK
Counselor (Mental Health)
276 5TH AVE RM 605
NEW YORK, NY 10001
New York County (917) 847-7556
MADELEINE BLAINE PHELAN LMSW
Social Worker (Clinical)
276 5TH AVE RM 605
NEW YORK, NY 10001
New York County (917) 847-7556
MR. TONY CANTON
Counselor (Mental Health)
276 5TH AVE RM 605
NEW YORK, NY 10001
New York County (646) 960-3451
ALYSSA A DIGGES MHC-LP
Counselor (Mental Health)
276 5TH AVE RM 605
NEW YORK, NY 10001
New York County (646) 470-5077
GARY JR. BRUCATO PHD
Psychologist (Clinical)
276 5TH AVE RM 605
NEW YORK, NY 10001
New York County (917) 847-7556
DR. JULIA EAKIN BLACK MD
Psychiatry & Neurology (Psychiatry)
276 5TH AVE RM 605
NEW YORK, NY 10001
New York County (607) 793-6579
DR. GAVIN RYAN SHAFRON PH.D
Psychologist
276 5TH AVE RM 605
NEW YORK, NY 10001
New York County (813) 389-1788
LAUREN PALUMBO LMHC
Counselor (Mental Health)
276 5TH AVE RM 605
NEW YORK, NY 10001
New York County (917) 847-7556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikki Lee's NPI number?

The NPI number for Mikki Lee is 1093108714. It was assigned to this individual provider in the NPPES registry on March 5, 2015. The provider is also known as Dr. Mikki Lee Elembaby Psy.D..

Where is Mikki Lee located?

Mikki Lee practices at 276 5th Ave Rm 605, New York, NY 10001. The listed phone number is (917) 359-3986.

What is Mikki Lee's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mikki Lee enrolled in Medicare?

No. Mikki Lee has opted out of Medicare through October 22, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mikki Lee was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.