Active NPI
Dr. Sung S. Han's Psychological and Educational Services, PC
- Psychologist
- Ellicott City, MD
National Provider Identifier
1245438472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 02896
- Legal business name
- DR. SUNG S. HAN'S PSYCHOLOGICAL AND EDUCATIONAL SERVICES, PC
- Practice address
- 3355 Saint Johns LN
Suite F
Ellicott City, MD 21042-2605 - Phone
- (410) 750-1119
- NPI assigned
- Jul 10, 2007
- Last updated
- Jul 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sung Soon Han, PHD
- Title
- President
- Phone
- (410) 750-1119
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 02896 | MD | Primary |
Addresses
Primary practice location
3355 Saint Johns LN
Suite F
Ellicott City, MD 21042-2605
Mailing address
8394 Governor Run
Ellicott City, MD 21043-3448
Phone (410) 750-1119
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Ellicott City, MD
- NPI 1912917576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184457600000",
"number": "1245438472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8394 GOVERNOR RUN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433448",
"telephone_number": "410-750-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 SAINT JOHNS LN",
"address_2": "SUITE F",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422605",
"telephone_number": "410-750-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SUNG S. HAN'S PSYCHOLOGICAL AND EDUCATIONAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-15",
"status": "A",
"authorized_official_last_name": "HAN",
"authorized_official_first_name": "SUNG",
"authorized_official_middle_name": "SOON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-750-1119",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "02896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.