Active NPI
Elise Choe
- Psychologist
- Boston, MA
National Provider Identifier
1205501426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY10000474
- Practice address
- 185 Bay State Rd
Boston, MA 02215-1506 - Phone
- (617) 353-3047
- NPI assigned
- Aug 10, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY10000474 | MA | Primary |
Addresses
Primary practice location
185 Bay State Rd
Boston, MA 02215-1506
Mailing address
1450 Commonwealth Ave Apt 30
Brighton, MA 02135-3708
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 |
|---|---|---|---|
| PSY10000474 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1205501426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 COMMONWEALTH AVE APT 30",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 BAY STATE RD",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151506",
"telephone_number": "617-353-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOE",
"first_name": "ELISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "PSY10000474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.