DR. MIA LEE PSY.D.
NPI 1710602271
Psychologist - Clinical in New York, NY

Q: What is Mia Lee's NPI number?

The NPI number for Mia Lee is 1710602271. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Q: What is Mia Lee's specialty?

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

Q: Is Mia Lee enrolled in Medicare?

No. Mia Lee has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mia Lee was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 06, 2022Opted out of Medicare · through Aug 30, 2026

5 E 16TH ST FL 6, NEW YORK, NY 10003(732) 673-1462 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mia Lee Psy.d. NPPES

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

DR. MIA LEE PSY.D. (NPI 1710602271) is an individual clinical provider in New York, New York, licensed in New York (025100) and active in the NPI registry since October 2022. She has opted out of Medicare through August 30, 2026.

NPPES Registry Identity

NPI1710602271

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MIA LEECredential: PSY.D.

Location Address5 E 16TH ST FL 6New York, NY 10003-3112

Mailing Address31 Jane St Apt 4dNew York, NY 10014-1978

Phone(732) 673-1462

Sole ProprietorNo

Enumeration DateOctober 6, 2022

NPPES CertifiedOctober 6, 2022

✔ NPI 1710602271 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 · 025100

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.

5 E 16TH ST FL 6, New York, NY 10003

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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. Mia 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 August 30, 2022 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2022

Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

DR. KAREN ROTHMAN PHD

Psychologist (Clinical)