Devika Dibya Choudhuri, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002648 Issued in CT

Practice address

135 Porter West Circle Drive
Ypsilanti, MI 48197

Phone

(734) 487-4410

NPI assigned

Dec 5, 2019

Last updated

Dec 5, 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 2

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

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1700423092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PORTER WEST CIRCLE DRIVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-487-2756",
            "fax_number": "734-487-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PORTER WEST CIRCLE DRIVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-487-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHURI",
        "first_name": "DEVIKA",
        "middle_name": "DIBYA",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "002648",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danial Choe, LLMSW
• Sunhwa Choi
• Selena Khaled Cholak, DO
• David W. Chorney, O.D.
• Christopher Chou, MD
• Steven Choukry, PHARMD
• Michael George Chrissos, MD
• Carl Woodrow Christensen, MD
• Clare Christopher
• Wallace Christy, MD

• Mental Health Counselor in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.