Nicola Chung, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7307 Issued in FL

Legal business name

NICOLA CHUNG, PH.D., LLC

Practice address

1021 Ives Dairy Rd
Suite 119
North Miami Beach, FL 33179-2537

Phone

(305) 490-8590

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicola Chung, PH.D.NPI 1003856121

Title

MGRM

Phone

(305) 490-8590

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicola Marie Chung, PH.D.

  • Clinical Psychologist
  • North Miami Beach, FL
  • NPI 1003856121
  Medicare reassignment Authorized official
• Mitchell Gordon, PH.D., ABPP

  • Psychologist
  • Jacksonville, FL
  • NPI 1669696365

  Clinical

  NPD (past)
• Martin S Laser, MSW

  • Clinical Social Worker
  • Plantation, FL
  • NPI 1114218898
  NPD (past)
• Elizabeth Trop-Roberts, PSY.D.

  • Psychologist
  • Miami, FL
  • NPI 1205256419
  NPD (past)
• Jack Robert Weitz, PHD

  • Psychologist
  • North Miami Beach, FL
  • NPI 1407904873
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379116800000",
    "number": "1346312923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 IVES DAIRY RD",
            "address_2": "SUITE 119",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792537",
            "telephone_number": "305-490-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 IVES DAIRY RD",
            "address_2": "SUITE 119",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792537",
            "telephone_number": "305-490-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLA CHUNG, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-09-14",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "305-490-8590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.