Active NPI
Yu Chak Sunny Ho, PH.D.
- Counseling Psychologist
- Kenmore, WA
National Provider Identifier
1740954528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 61211497
- Practice address
- 14500 Juanita Dr NE
Kenmore, WA 98028 - Phone
- (626) 297-0890
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 61211497 | WA | Primary |
Addresses
Primary practice location
14500 Juanita Dr NE
Kenmore, WA 98028
Mailing address
15829 13TH Ave W
Lynnwood, WA 98087-6506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 27, 2021 through Oct 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61211497 | WA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1740954528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15829 13TH AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980876506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 JUANITA DR NE",
"city": "KENMORE",
"state": "WA",
"postal_code": "98028",
"telephone_number": "626-297-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "YU CHAK SUNNY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2023-09-11",
"certification_date": "2023-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "61211497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.