Clotilda Choh, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R205638 Issued in MD

Practice address

4740 Pearson Dr
Woodbridge, VA 22193-5413

Phone

(240) 425-2388

Fax

(877) 543-9437

NPI assigned

Nov 25, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• First Care Home Services LLC

  • Home Health Agency
  • Springfield, VA
  • NPI 1740968593
  NPD Authorized official
• First Care Services, Inc

  • Community/Behavioral Health Agency
  • Woodbridge, VA
  • NPI 1457849788
  NPD Authorized official

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1467966739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15503 SYMONDSBURY WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748045",
            "telephone_number": "240-425-2388",
            "fax_number": "877-543-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 PEARSON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935413",
            "telephone_number": "240-425-2388",
            "fax_number": "877-543-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOH",
        "first_name": "CLOTILDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-25",
        "last_updated": "2023-05-23",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "47-3317137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Chibueze, MD
• Constantine N. Chienku, M.D.
• Jamie Childress, DDS
• Cho Behavioral Consulting, LLC
• Young H Cho, DDS
• Hoyoung Choi, DMD
• Mi-Yon Choi, DDS
• Choice Medical Solution LLC
• Mary Chopard, MD
• Eliza Marie Chopra, MD, MPH

• Psychiatric/Mental Health Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.