Active NPI
Poyoon Choi, PH.D.
- Clinical Psychologist
- Elmhurst, NY
National Provider Identifier
1003830944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 15092
- Practice address
- 8635 Queens Blvd
1E
Elmhurst, NY 11373-4434 - Phone
- (718) 205-4544
- Fax
- (718) 205-5594
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 15092 | NY | Primary |
Addresses
Primary practice location
8635 Queens Blvd
1E
Elmhurst, NY 11373-4434
Mailing address
44 Flamingo Rd N
Roslyn, NY 11576-2606
Phone (516) 603-6323
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0281EL | Other | NY | GHI MEDICARE |
| 02246257 | Medicaid | NY | |
| 0281EM | Other | NY | GHI MEDICARE |
| 0281EN | Other | NY | GHI MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15092 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Medicine PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBEDCA
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.
-
- Family Medicine Physician
- Elmhurst, NY
- NPI 1225228778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1003830944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 FLAMINGO RD N",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762606",
"telephone_number": "516-603-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 QUEENS BLVD",
"address_2": "1E",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734434",
"telephone_number": "718-205-4544",
"fax_number": "718-205-5594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "POYOON",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "15092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "0281EL",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02246257",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "0281EM",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "0281EN",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.