Active NPI
Jae H Cho
- Psychologist
- Tacoma, WA
National Provider Identifier
1295794493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- S83742
- Practice address
- 9601 Steilacoom Blvd SW
Tacoma, WA 98498-7213 - Phone
- (253) 582-8900
- Fax
- (253) 756-2879
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | S83742 | WA | Primary |
Addresses
Primary practice location
9601 Steilacoom Blvd SW
Tacoma, WA 98498-7213
Mailing address
9601 Steilacoom Blvd SW
Tacoma, WA 98498-7213
Phone (253) 582-8900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S83742 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Social Dept of SHS Div of Instns | Past | 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.
-
- Psychiatric Hospital
- Medical Lake, WA
- NPI 1467440602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1295794493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984987213",
"telephone_number": "253-582-8900",
"fax_number": "253-756-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984987213",
"telephone_number": "253-582-8900",
"fax_number": "253-756-2879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "JAE",
"middle_name": "H",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "S83742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.