Mind Grove Psychology PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIND GROVE PSYCHOLOGY PLLC

Practice address

220 5TH Ave # 11TH
New York, NY 10001-7708

Phone

(339) 223-4507

NPI assigned

Mar 11, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Hanseung Simon ChoiNPI 1225906993

Title

Psychologist

Phone

(339) 223-4507

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hanseung Choi

  • Clinical Psychologist
  • New York, NY
  • NPI 1225906993
  NPD Authorized official

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1609723543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 122ND ST APT 11C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVE # 11TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017708",
            "telephone_number": "339-223-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND GROVE PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HANSEUNG",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "339-223-4507",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mind Rejuvenation Therapy
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• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.