Young Sun Lee, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27231 Issued in CA

Practice address

11712 Moorpark St Ste 105
Studio City, CA 91604-2156

Phone

(818) 900-5152

NPI assigned

Oct 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Young S Lee Other 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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 29, 2024 through Jan 29, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Defining Moments Psychological Corporation

  • Clinical Psychologist
  • Studio City, CA
  • NPI 1588226393
  NPD

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1336474576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 105",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042156",
            "telephone_number": "818-900-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 105",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042156",
            "telephone_number": "818-900-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUNG SUN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNG",
            "last_name": "LEE",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandy Le, N.D.
• Lori C Lechien, LMFT
• Kristen Seungyun Lee
• Salvacion Mirafuentes Lee, M.D.
• Sangwon Lee
• Theresa J Leinweber, MFT
• Lejolie Medical Spa
• Perla Lemus
• Cynthia E. Lermond, PSY.D.
• Mindi Levins-Pfeifer

• Clinical Psychologist in Studio City, CA
• Providers in Studio City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.