Sungeun Melanie Lee, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A145188 Issued in CA

Practice address

6345 Balboa Blvd Ste 365
Encino, CA 91316-1511

Phone

(818) 643-5082

Fax

(818) 643-7098

NPI assigned

Apr 14, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sung-Eun Melanie Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 26, 2020 through Jun 26, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sungeun.lee.1@12972.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12972/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adelpha Psychiatric Group, Inc.

  • Psychiatry Physician
  • Encino, CA
  • NPI 1942674049

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1083000277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 365",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161511",
            "telephone_number": "818-643-5082",
            "fax_number": "818-643-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 365",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161511",
            "telephone_number": "818-643-5082",
            "fax_number": "818-643-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6345 Balboa Blvd Ste 199",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913161515",
            "country_code": "US",
            "telephone_number": "818-643-5082",
            "fax_number": "818-643-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245055",
            "country_code": "US",
            "telephone_number": "909-964-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUNGEUN",
        "middle_name": "MELANIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A145188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNG-EUN",
            "last_name": "LEE",
            "middle_name": "MELANIE",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janet Unkyung Lee, L.AC.,O.M.D.,PH.D.
• Kathleen Daguplo Lee, BCBA
• Kathryn Soh Yoon Lee, MPH, RD
• Kimberly Lee
• Sandy Y. Lee, M.D.
• Eve Elisabeth Leedham, PH.D.
• Legendary Recovery Inc
• Carmella Leipzig, R.N.C., M.A., M.F.T.
• Tiffany Zuseth Lemus, MS ABA
• William R Lenaburg, M.D.

• Psychiatry Physician in Encino, CA
• Providers in Encino, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.