Blaine Robert Lee, Psychiatric Mental Health Nursing Practice Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLAINE ROBERT LEE, PSYCHIATRIC MENTAL HEALTH NURSING PRACTICE INC

Practice address

431 W Lambert Rd Ste 310
Brea, CA 92821-3918

Phone

(714) 325-7110

Fax

(949) 346-4026

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Blaine Robert Lee, PMHNP-BC

Title

President / Owner

Phone

(714) 325-7110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blaine Robert Lee, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brea, CA
  • NPI 1467226373
  Medicare reassignment NPD

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1497626337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W LAMBERT RD STE 310",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213918",
            "telephone_number": "714-325-7110",
            "fax_number": "949-346-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W LAMBERT RD STE 310",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213918",
            "telephone_number": "714-325-7110",
            "fax_number": "949-346-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAINE ROBERT LEE, PSYCHIATRIC MENTAL HEALTH NURSING PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "714-325-7110",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Brea, CA
• Providers in Brea, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.