Individual provider Active NPI

Jean Helen Choe, PHD LP

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1164511739
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4382 Issued in MN
Practice address
717 E River Pkwy
Minneapolis, MN 55455-0369
Phone
(612) 436-4800
Fax
(612) 436-2600
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4382 MN Primary

Addresses

Primary practice location

717 E River Pkwy
Minneapolis, MN 55455-0369

Mailing address

3100 James Ave S
#3
Minneapolis, MN 55408-3381
Phone (612) 823-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4382MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Victims of Torture CurrentSince Oct 27, 2015 Accepting new patients
Center for Victims of Torture - Bethesda Past Accepting new patients

Locations

649 Dayton Ave
Saint Paul, MN 55104
Phone (612) 436-4840

2356 University Ave W
Ste 430
Saint Paul, MN 55114

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164511739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 JAMES AVE S",
            "address_2": "#3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083381",
            "telephone_number": "612-823-1107",
            "fax_number": "612-436-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E RIVER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550369",
            "telephone_number": "612-436-4800",
            "fax_number": "612-436-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "JEAN",
        "middle_name": "HELEN",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.