Individual provider Active NPI

Sunui Lee, PH.D.

  • Cognitive & Behavioral Psychologist
  • San Francisco, CA
National Provider Identifier
1700015575
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PSY24552 Issued in CA
Practice address
302 Silver Ave
San Francisco, CA 94112-1510
Phone
(415) 246-4086
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCS 11634 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY24552 CA Primary

Addresses

Primary practice location

302 Silver Ave
San Francisco, CA 94112-1510

Mailing address

1082 E El Camino Real Ste 5
Sunnyvale, CA 94087-3776
Phone (415) 246-4086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000318 CA Practitioner - Clinical Psychologist 4880860501 Practice locations: Redwood City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 Veterans Blvd
Suite 116
Redwood City, CA 94063-1499
Phone (415) 246-4086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LCS 11634CAMDCounselor
PSY24552CAMDCognitive & Behavioral Psychologist
24552CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunui Lee PHD Inc Current Accepting new patients

Locations

1860 El Camino Real
Ste 310
Burlingame, CA 94010
Phone (650) 697-1717

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1700015575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 E EL CAMINO REAL STE 5",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873776",
            "telephone_number": "415-246-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121510",
            "telephone_number": "415-246-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUNUI",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "LCS 11634",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY24552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.