Koa Health Digital Solutions, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

KOA HEALTH DIGITAL SOLUTIONS, LLC

Practice address

75 State St FL 16
Boston, MA 02109-1466

Phone

(617) 619-8234

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Renee M Anderson-Drap

Title

Vice President, Delivery & Services

Phone

(248) 818-7802

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1629842067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 STATE ST FL 16",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091466",
            "telephone_number": "617-619-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STATE ST FL 16",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091466",
            "telephone_number": "617-619-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOA HEALTH DIGITAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-DRAP",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT, DELIVERY & SERVICES",
        "authorized_official_telephone_number": "248-818-7802"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kang Hoon Ko
• Naomi Ko, M.D.
• Narae Ko, MD
• Phebe Sill Ko
• Vincent Ko, MD
• Koala Pharmacy Boston LLC
• Debbie Koay, PHARMD
• Frances Lydia Koback, MD
• Audrey Nebergall Kobayashi, MD, PHD
• Ryan Kobayashi, MD, MS

• Counseling Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Counseling Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.