Jason Alexander Chong, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1024 Issued in WV

Practice address

9000 Coombs Farm Drive
Suite 202
Morgantown, WV 26508

Phone

(304) 554-0504

Fax

(304) 554-0505

NPI assigned

Aug 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tri State Neuropsychology Consultants, PC

  • Clinical Neuropsychologist
  • Pittsburgh, PA
  • NPI 1598355679

  WV

  Medicare reassignment NPD Authorized official
• Neuropsychology Group of West Virginia, PLLC

  • Clinical Psychologist
  • Morgantown, WV
  • NPI 1396124160

  Clinical Neuropsychologist

  Medicare reassignment NPD
• Northwest Neurobehavioral Institute

  • Clinical Neuropsychologist
  • Spokane, WA
  • NPI 1427115765
  NPD (past)
• Optic One Eye Care Centers of Spokane PC

  • Optometrist
  • Spokane, WA
  • NPI 1801948013
  NPD (past)

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1386923480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 CHASE ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265086840",
            "telephone_number": "503-724-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 COOMBS FARM DRIVE",
            "address_2": "SUITE 202",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508",
            "telephone_number": "304-554-0504",
            "fax_number": "304-554-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "JASON",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1024",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WV",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026905",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Care Center of Morgantown, Inc.
• Stefan A Cho-Polizzi, DDS
• Muchi Ditah Chobufo, MD
• Mia Cara Choffo
• Janie Shinae Choi, MD
• Monica Chowdhry
• Manar Chowdhury, MD
• Justin Monroe Christensen, DO
• Colleen Christopher
• Heather Christopher

• Clinical Neuropsychologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Clinical Neuropsychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.