Sungwoo Kahng, PH.D.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2014023314 Issued in MO

Practice address

Thompson Center for Autism &
205 Portland St.
Columbia, MO 65211-0001

Phone

(573) 884-4660

Fax

(573) 884-3195

NPI assigned

Jul 15, 2014

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1386051985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THOMPSON CENTER FOR AUTISM &",
            "address_2": "205 PORTLAND ST.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652110001",
            "telephone_number": "573-884-4660",
            "fax_number": "573-884-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THOMPSON CENTER FOR AUTISM &",
            "address_2": "205 PORTLAND ST.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652110001",
            "telephone_number": "573-884-4660",
            "fax_number": "573-884-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHNG",
        "first_name": "SUNGWOO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2014023314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bareen Waseem Kabir, MD
• Athanasios Georgiou Kaditis, MD
• Eric Daniel Kadlec, MD
• Rose Maura O'Donnell Kaemmerer, PH.D.
• Omololu Kafisanwo, CRNA
• Jessica Noel Kahwaji, MD
• Jussuf T Kaifi, M.D.
• Kelley Kaiser, FNP-C
• Mark Stewart Kaiser, DO
• Aleksandr Kalabin, M.D.

• Behavior Analyst in Columbia, MO
• Providers in Columbia, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.