Individual provider Active NPI

Yoon Joh, PH.D

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1568696292
Registry record updated May 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015253 Issued in NY
Practice address
917 President St
Brooklyn, NY 11215-1603
Phone
(347) 570-3970
NPI assigned
May 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015253 NY Primary

Addresses

Primary practice location

917 President St
Brooklyn, NY 11215-1603

Mailing address

917 President St
Brooklyn, NY 11215-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000127 NY Practitioner - Clinical Psychologist 7517947153 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015253NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yoon Joh Psychology Services PC Clinical Current Accepting new patients
Hollander Psychological Consulting PC Clinical PastSince Sep 21, 1992 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241827200000",
    "number": "1568696292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151603",
            "telephone_number": "347-570-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOH",
        "first_name": "YOON",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-09",
        "last_updated": "2009-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.