Active NPI
Young-Sook Han, PHD
- Psychologist
- New York, NY
National Provider Identifier
1447412937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013070
- Practice address
- 180 West End Avenue
Suite 1-a
New York, NY 10023 - Phone
- (212) 362-4532
- Fax
- (718) 429-7147
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 013070 | NY | Primary |
Addresses
Primary practice location
180 West End Avenue
Suite 1-a
New York, NY 10023
Mailing address
180 West End Avenue
Suite 1-a
New York, NY 10023
Phone (212) 362-4532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01751899 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013070 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Psychassociates LLP | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- New York, NY
- NPI 1124051925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1447412937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 WEST END AVENUE",
"address_2": "SUITE 1-A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10023",
"telephone_number": "212-362-4532",
"fax_number": "718-429-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WEST END AVENUE",
"address_2": "SUITE 1-A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10023",
"telephone_number": "212-362-4532",
"fax_number": "718-429-7147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "YOUNG-SOOK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01751899",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.