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MOON LEE PH.D.
NPI 1528072600
Psychologist - Clinical in New York, NY

Active since July 27, 2006
1745 BROADWAY, 17 FL, NEW YORK, NY 10019(212) 851-8102(212) 537-0102 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moon Lee Ph.d. NPPES

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

MOON LEE PH.D. (NPI 1528072600) is an individual clinical provider in New York, New York, licensed in New York (7336) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1528072600
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMOON LEECredential: PH.D.
Location Address1745 BROADWAY, 17 FLNew York, NY 10019-4640
Mailing Address38 Radigan AveStaten Island, NY 10309-4212 · (718) 967-9145
Phone(212) 851-8102
Fax(212) 537-0102
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 10, 2015
✔ NPI 1528072600 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 · 7336
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.
1745 BROADWAY, New York, NY 10019
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Other Identifiers 2

Medicare PIN02811TUNY
Medicaid01879854NY

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.

DR. LORRI REYNARD PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
DR. LISA G ROBIN PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
DAVID WELLEN PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
JANICE BLACKHAM PSY.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL.
NEW YORK, NY 10019
New York County (212) 851-8100
CHARLES MIEZEJESKI PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
ABIGAIL GLEASON PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
DEBRA D CASSIDY PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
CYNTHIA FRANKEL PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100

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 Moon Lee's NPI number?

The NPI number for Moon Lee is 1528072600. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Moon Lee located?

Moon Lee practices at 1745 Broadway 17 Fl, New York, NY 10019. The listed phone number is (212) 851-8102.

What is Moon Lee's specialty?

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

When was this NPI record last updated?

The NPPES record for Moon Lee was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.