EMBER LYNN LEE
NPI 1174784144
Psychologist - Clinical Child & Adolescent in San Diego, CA
NPI Status: Active since June 22, 2008
Contact Information
3665 KEARNY VILLA RD
#101
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-5832
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- PECOS Enrolled
- Opted-Out Medicare
About EMBER LEE
This page provides the complete NPI Profile along with additional information for Ember Lee, a provider established in San Diego, California with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1174784144 assigned on June 2008. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1174784144
- Provider Name
- EMBER LYNN LEE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3665 KEARNY VILLA RD #101 SAN DIEGO, CA 92123
- Location Phone
- (858) 966-5832
- Mailing Address
- 4046 1ST AVE #305 SAN DIEGO, CA 92103
- Mailing Phone
- (334) 707-0380
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-22-2008
- Last Update Date
- 06-22-2008
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ember Lee opted out of Medicare effective on 11-09-2023 until 11-09-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95-1691313 | OTHER (01) | CA | RADY CHILDREN'S HOSPITAL SAN DIEGO, OUTPATIENT PSYCHIATRY DEPARTMENT |
Medicare Participation & PECOS Enrollment Status
Ember Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-09-2023
Opt-Out End Date: 11-09-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for EMBER LYNN LEE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 7 | 8 | 4 | 1 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 14 | 8 | 8 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 4 + 8 + 8 + 1 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1174784144 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962508481 | RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY SAN DIEGO Organization | Marriage & Family Therapist | 3665 KEARNY VILLA RD 165 SAN DIEGO, CA 92123 (619) 758-5993 |
| 1003916909 | MS. GENA M SINGER MHRS Individual | Case Manager/Care Coordinator | 3665 KEARNY VILLA RD SUITE 165 SAN DIEGO, CA 92123 (619) 507-7438 |
| 1649365438 | MARIA TERESA KELLEY LCSW Individual | Social Worker | 3665 KEARNY VILLA RD SUITE 165 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1629164223 | JANIS WINN LCSW Individual | Social Worker (Clinical) | 3665 KEARNY VILLA RD SUITE 101 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1639252455 | ELIZABETH SANTANA MFT Individual | Marriage & Family Therapist | 3665 KEARNY VILLA RD SUITE 101 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1770656522 | CATHERINE DICKERSON L.C.S.W. Individual | Social Worker (Clinical) | 3665 KEARNY VILLA RD SUITE 101 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1770709198 | MR. RAFAEL MUNOZ JR. MSW Individual | Case Manager/Care Coordinator | 3665 KEARNY VILLA RD STE. 405 SAN DIEGO, CA 92123 (858) 966-5990 |
| 1902004518 | MRS. ALISHA MARIE CARPENTER M.A. Individual | Student in an Organized Health Care Education/Training Program | 3665 KEARNY VILLA RD #101 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1154521110 | MIGUEL VILLODAS Individual | Counselor (Mental Health) | 3665 KEARNY VILLA RD SAN DIEGO, CA 92123 (858) 966-5832 |
| 1346432366 | HOLLY LAWRENCE Individual | Rehabilitation Practitioner | 3665 KEARNY VILLA RD SAN DIEGO, CA 92123 (858) 966-5832 |
| 1265625479 | MS. SAMANTHA DECARO M.A. Individual | Counselor (Mental Health) | 3665 KEARNY VILLA RD SUITE 501 SAN DIEGO, CA 92123 (858) 966-5803 |
| 1861678633 | DOUGLAS P EBBERS M.S. IN ED. Individual | Specialist | 3665 KEARNY VILLA RD SUITE 405 SAN DIEGO, CA 92123 (858) 966-1700 |
| 1518144914 | LETICIA ACOSTA Individual | Counselor (Mental Health) | 3665 KEARNY VILLA RD SUITE 165 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1760653133 | MARIA GUADALUPE MONTALVAN MFT INTERN Individual | Marriage & Family Therapist | 3665 KEARNY VILLA RD SUITE 101 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1629241500 | ANDREW ROBERT KEYES M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3665 KEARNY VILLA RD SUITE 101 SAN DIEGO, CA 92123 (858) 966-7759 |
| 1932344033 | MRS. VERONICA MILLER Individual | Specialist | 3665 KEARNY VILLA RD SAN DIEGO, CA 92123 (858) 966-1700 |
| 1205157369 | MRS. KRISTINA MARIE STANFORD MFTT Individual | Student in an Organized Health Care Education/Training Program | 3665 KEARNY VILLA RD SUITE 101 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1669762092 | MS. ASHLEY KAY RAMBEAU MSW Individual | Social Worker | 3665 KEARNY VILLA RD SAN DIEGO, CA 92123 (858) 576-1700 |
| 1972899540 | JOE YI JOEY FUNG Individual | Student in an Organized Health Care Education/Training Program | 3665 KEARNY VILLA RD #101 SAN DIEGO, CA 92123 (858) 966-5832 |
| 1083992580 | RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY Organization | Student in an Organized Health Care Education/Training Program | 3665 KEARNY VILLA RD 165 SAN DIEGO, CA 92123 (619) 758-5993 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174784144, enumerated in the NPI registry as an "individual" on June 22, 2008
The provider is located at 3665 Kearny Villa Rd #101 San Diego, Ca 92123 and the phone number is (858) 966-5832
The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on November 09, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 09, 2025.
This NPI record was last updated on June 22, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.