Active NPI
Dongju Seo, PHD
- Clinical Psychologist
- New Haven, CT
National Provider Identifier
1124818505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 003897
- Practice address
- 2 Church St S Ste 209
New Haven, CT 06519-1717 - Phone
- (475) 441-3457
- Fax
- (203) 737-1272
- NPI assigned
- May 9, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 003897 | CT | Primary |
Addresses
Primary practice location
2 Church St S Ste 209
New Haven, CT 06519-1717
Mailing address
2 Church St S Ste 209
New Haven, CT 06519-1717
Phone (475) 441-3457
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1124818505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CHURCH ST S STE 209",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191717",
"telephone_number": "475-441-3457",
"fax_number": "203-737-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHURCH ST S STE 209",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191717",
"telephone_number": "475-441-3457",
"fax_number": "203-737-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "DONGJU",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-09",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "003897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.