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EMBER LYNN LEE
NPI 1174784144
Psychologist - Clinical Child & Adolescent in San Diego, CA

Active since June 22, 2008Opted out of Medicare · through Nov 9, 2027
3665 KEARNY VILLA RD, #101, SAN DIEGO, CA 92123(858) 966-5832 Get Directions Write a Review

NPPES record last updated: June 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ember Lynn Lee NPPES

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

EMBER LYNN LEE (NPI 1174784144) is an individual clinical child & adolescent provider in San Diego, California and active in the NPI registry since June 2008. She has opted out of Medicare through November 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174784144
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameEMBER LYNN LEE
Location Address3665 KEARNY VILLA RD, #101San Diego, CA 92123-1953
Mailing Address4046 1st Ave, #305San Diego, CA 92103-2036 · (334) 707-0380
Phone(858) 966-5832
Sole ProprietorYes
Enumeration DateJune 22, 2008
✔ NPI 1174784144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
3665 KEARNY VILLA RD, San Diego, CA 92123
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Other Identifiers 1

Other95-1691313CA · Rady Children's Hospital San Diego, Outpatient Psychiatry Department

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ember Lynn Lee 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 November 9, 2023 through November 9, 2027.

Opt-Out Effective DateNovember 9, 2023
Opt-Out In Effect ThroughNovember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

MARGARET KNIGHT
Marriage & Family Therapist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
MS. GENA M SINGER MHRS
Case Manager/Care Coordinator
3665 KEARNY VILLA RD, SUITE 165
SAN DIEGO, CA 92123
San Diego County (619) 507-7438
MS. AMBER MULLANEY COGO BA, NBC-HWC
Day Training/Habilitation Specialist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-1700
DR. KATHERINE NGUYEN WILLIAMS PH.D.
Psychologist
3665 KEARNY VILLA RD, SUITE 101
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
MARYAM JALO
Social Worker (Clinical)
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
DR. COLBY ELIZABETH CHLEBOWSKI PH.D.
Student in an Organized Health Care Education/Training Program
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-7703
PAGE NAOMI BEUKELMAN AU.D.
Audiologist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-8100
NICHOLAS PORTUGAL AUD
Audiologist-Hearing Aid Fitter
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-7803

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 Ember Lee's NPI number?

The NPI number for Ember Lee is 1174784144. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Ember Lee located?

Ember Lee practices at 3665 Kearny Villa Rd #101, San Diego, CA 92123. The listed phone number is (858) 966-5832.

What is Ember Lee's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Ember Lee enrolled in Medicare?

No. Ember Lee has opted out of Medicare through November 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ember Lee was last updated on June 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.