Kevin Brian Lee, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A111339 Issued in CA

Practice address

866 Campus Dr RM 264
Stanford, CA 94305-8508

Phone

(650) 723-3785

Fax

(650) 725-2887

NPI assigned

Jun 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Psychiatry

Education

University of Texas Southwestern Medical School at Dallas, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Momentum for HealthGroup PAC ID 2769377217, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Momentum for Health

  dba Momentum for Health - Alameda Outpatient

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1154426807
  Medicare reassignment Care Compare group NPD
• Stanford Health Care

  dba Stanford Medical Center A Trade Name for Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  Medicare reassignment NPD
• Momentum for Health

  dba Momentum for Health - ATS-OP White Rd

  • Psychologist
  • San Jose, CA
  • NPI 1760181234
  NPD
• Momentum for Mental Health- Isp & FSP

  • Psychologist
  • San Jose, CA
  • NPI 1821215112
  NPD
• Stanford Health Care

  dba Stanford Health Care Specialty Pharmacy

  • Specialty Pharmacy
  • Mountain View, CA
  • NPI 1760366132
  NPD
• Schuman-Liles Clinic, Inc

  • Psychiatry Physician
  • Fremont, CA
  • NPI 1164555660
  NPD (past)
• Schuman-Liles Clinic, Inc

  • Psychiatry Physician
  • Oakland, CA
  • NPI 1861568909
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1922268556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR RM 264",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058508",
            "telephone_number": "650-723-3785",
            "fax_number": "650-725-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR RM 264",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058508",
            "telephone_number": "650-723-3785",
            "fax_number": "650-725-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 The Alameda",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951261136",
            "country_code": "US",
            "telephone_number": "408-261-7777",
            "fax_number": "408-642-6052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A111339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jong-Mi Lee, NP
• Julie Jung Hyun Lee, MD, MPH
• Jung-Hyun Lee, MD
• Junsik Matthew Lee, DDS
• Keane K Lee, M.D.
• Kevin James Lee, PA-C
• Leslie Hui-Lin Lee, M.D.
• Lisa Mai Lee, MD
• Marc Bruno Lee, MD
• Matthew Kun Lee

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.