Individual provider Active NPI

Yoo-Yun Cho-Chang, PH.D.

  • Counseling Psychologist
  • Lexington, MA
National Provider Identifier
1144655622
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
10837 Issued in MA
Practice address
76 Bedford St Ste 25
Lexington, MA 02420-4641
Phone
(603) 491-9403
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Counseling Psychologist 103TC1900X 10837 MA Primary

Addresses

Primary practice location

76 Bedford St Ste 25
Lexington, MA 02420-4641

Mailing address

71 Freemont St
Lexington, MA 02421-6528
Phone (603) 491-9403

Other practice location 1

185 Bay State Rd
Boston, MA 02215-1506
Phone (617) 353-3047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 2, 2025 through Mar 2, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10837MAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Namu Counseling, LLC Pastoral CurrentSince Apr 10, 2022 Accepting new patients

Locations

76 Bedford St
Ste 25
Lexington, MA 02420
Phone (781) 861-1663

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1144655622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 FREEMONT ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216528",
            "telephone_number": "603-491-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 25",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204641",
            "telephone_number": "603-491-9403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Bay State Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022151506",
            "country_code": "US",
            "telephone_number": "617-353-3047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO-CHANG",
        "first_name": "YOO-YUN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "10837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.