Active NPI
Hanseung Choi
- Clinical Psychologist
- New York, NY
National Provider Identifier
1225906993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 027029
- Practice address
- 300 W 122ND St Apt 11C
New York, NY 10027-5376 - Phone
- (339) 223-4507
- NPI assigned
- Oct 25, 2025
- Sex
- Male
- 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 | 027029 | NY | Primary |
Addresses
Primary practice location
300 W 122ND St Apt 11C
New York, NY 10027-5376
Mailing address
300 W 122ND St Apt 11C
New York, NY 10027-5376
Phone (339) 223-4507
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027029 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Grove Psychology PLLC | Current | Accepting new patients |
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.
-
- Clinic/Center
- New York, NY
- NPI 1609723543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761350400000",
"number": "1225906993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W 122ND ST APT 11C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275376",
"telephone_number": "339-223-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 122ND ST APT 11C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275376",
"telephone_number": "339-223-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "HANSEUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-25",
"last_updated": "2025-10-25",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "027029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.