Hyunjoo Chung, PHD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109694 Issued in TX

Practice address

1790 King Arthur Blvd Ste 130
Carrollton, TX 75010-2041

Phone

(469) 998-1291

Fax

(855) 933-2591

NPI assigned

Apr 18, 2007

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 names 1

• Hyunjoo Chung Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1629294350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W FRANKFORD RD",
            "address_2": "#1209",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 KING ARTHUR BLVD STE 130",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750102041",
            "telephone_number": "469-998-1291",
            "fax_number": "855-933-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HYUNJOO",
        "name_prefix": "Dr.",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP14261",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYUNJOO",
            "last_name": "CHUNG",
            "credential": "PHD CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annamarie Christian, PHDC, LPC, LMFT-A
• Karis Christian
• Katherine Elizabeth Christian, CCC-SLP
• Brooke Christman
• Hyang Chun
• Charles S Churchwell, D.P.M.
• Kylie Marie Churnetski, RD, NBC-HWC
• Dennis Michael Cianciulli Jr., D.C.
• Cil Psychological Services PLLC
• Elizabeth Andrea Cisneros

• Speech-Language Pathologist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.