Soyoung Suh, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009920 Issued in IL

Practice address

4923 Main St
Downers Grove, IL 60515-3654

Phone

(630) 206-0272

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soyoung Suh PHD Counseling

  • Adult Mental Health Clinic/Center
  • Naperville, IL
  • NPI 1740091479
  NPD Authorized official
• Dr Susan B Myket PC

  dba Susan Myket, PH.D. & Associates

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1457570251
  NPD (past)

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1649743055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 NUTMEG LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656808",
            "telephone_number": "847-826-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153654",
            "telephone_number": "630-206-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Bond St Ste 127",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605632769",
            "country_code": "US",
            "telephone_number": "630-355-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUH",
        "first_name": "SOYOUNG",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suburban Center of Allergy LTD
• Suburban Home Care
• Suburban Rehabilitation Specialists LLC
• Melissa A Suckow, O.D.
• Sang H Suh, M.D.
• Joseph T Sullivan, DDS
• Michael John Sullivan
• Monique Sullivan
• Timothy Sullivan
• Francis Summers

• Clinical Psychologist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.