Active NPI
Samuel Hong, PH.D
- Psychologist
- Athol, MA
National Provider Identifier
1306299128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 121 Pleasant St
Athol, MA 01331-3223 - Phone
- (682) 249-0375
- NPI assigned
- Jul 16, 2016
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
121 Pleasant St
Athol, MA 01331-3223
Mailing address
121 Pleasant St
Athol, MA 01331-3223
Phone (682) 249-0375
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468627200000",
"number": "1306299128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 PLEASANT ST",
"city": "ATHOL",
"state": "MA",
"postal_code": "013313223",
"telephone_number": "682-249-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 PLEASANT ST",
"city": "ATHOL",
"state": "MA",
"postal_code": "013313223",
"telephone_number": "682-249-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-16",
"last_updated": "2016-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athol, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.