Kelly Chun, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101222292 Issued in VA

Practice address

460 McLaws Cir
Suite 130
Williamsburg, VA 23185-5671

Phone

(757) 253-7651

Fax

(757) 253-7502

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

• Patricia a Ondercin

  • Psychologist
  • Williamsburg, VA
  • NPI 1619152741
  NPD (past)
• Rock Landing Psychological Group PLC

  • Psychiatry Physician
  • Newport News, VA
  • NPI 1528159183
  NPD (past)
• Horizon Health Services Inc

  • Community/Behavioral Health Agency
  • Getzville, NY
  • NPI 1043387152
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1356456735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MCLAWS CIR",
            "address_2": "SUITE 130",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855671",
            "telephone_number": "757-253-7651",
            "fax_number": "757-253-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MCLAWS CIR",
            "address_2": "SUITE 130",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855671",
            "telephone_number": "757-253-7651",
            "fax_number": "757-253-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101222292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chirocare Plus, Inc.
• Mark Ewing Chisam, M.D.
• Mohan Srikanth Chitta, PH.D
• Samantha D Chou, P.T.
• Chronic Conditions Center, Inc.
• Kimberly Chung, MS, RD, LDN
• Monique M. Churchill, LMFT
• Christopher J. Ciccone, M.D.
• Jolanta Ciesinska-Berdoz
• Erica Bettina Ciminelli, M.D.

• Psychiatry Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.