NPIMap

Individual provider Active NPI

Eugene Young Lee, M.D.

  • Psychiatry Physician
  • Carmel, CA
National Provider Identifier
1215052428
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A60178 Issued in CA
Practice address
275 Crossroads Blvd
Carmel, CA 93923-8684
Phone
(831) 718-9701
NPI assigned
Mar 20, 2007
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A60178 CA Primary

Addresses

Primary practice location

275 Crossroads Blvd
Carmel, CA 93923-8684

Mailing address

275 Crossroads Blvd
Carmel, CA 93923-8684
Phone (831) 718-9701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000621 CA Practitioner - Psychiatry 3274782479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians

Practice addresses (Care Compare)

2930 2ND Ave
Suite 200
Marina, CA 93933-6244
Phone (831) 582-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Psychiatry PC Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
County of San Diego Current Accepting new patients
County of San Diego CurrentSince Nov 18, 2012 Accepting new patients
Cep America - Psychiatry, PC Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
County of San Diego CurrentSince Nov 18, 2012 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Montage Medical Group CurrentSince Jun 15, 2013 Accepting new patients
Neuropsychological Assoc of Ca-a Professional Psychological Corp PastSince Feb 5, 2009 Accepting new patients
Siyan Clinical Corporation Psychiatry Past Accepting new patients

Locations

275 The Crossroads Blvd
Carmel, CA 93923
Phone (831) 582-2100

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

2930 2nd Ave
#200
Marina, CA 93933
Phone (831) 582-2100

2930 2nd Ave
Ste 200
Marina, CA 93933
Phone (831) 532-2100

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

Organizations & group practices 9

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1215052428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CROSSROADS BLVD",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238684",
            "telephone_number": "831-718-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CROSSROADS BLVD",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238684",
            "telephone_number": "831-718-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUGENE",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A60178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

Verify at the official NPI Registry.