Williamsburg Psychiatric Medicine

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0101222292 Issued in VA

Legal business name

WILLIAMSBURG PSYCHIATRIC MEDICINE

Practice address

460 McLaws Cir
Suite 130
Williamsburg, VA 23185-5671

Phone

(757) 253-7651

Fax

(757) 253-7502

NPI assigned

Dec 18, 2007

Last updated

Dec 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Chun, M.D.NPI 1356456735

Title

Owner

Phone

(757) 253-7651

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Chun, M.D.

  • Psychiatry Physician
  • Williamsburg, VA
  • NPI 1356456735
  Authorized official Same address or phone

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1689858359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MCLAWS CIR",
            "address_2": "SUITE 130",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855671",
            "telephone_number": "757-253-7651",
            "fax_number": "757-253-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MCLAWS CIR",
            "address_2": "SUITE 130",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855671",
            "telephone_number": "757-253-7651",
            "fax_number": "757-253-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG PSYCHIATRIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-253-7651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0101222292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.