Dr Soo Uhm Licensed Psychologist Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28657 Issued in CA

Legal business name

DR SOO UHM LICENSED PSYCHOLOGIST INC

Practice address

1010 S El Camino Real Ste a
San Mateo, CA 94402-2802

Phone

(415) 689-9441

NPI assigned

Jun 14, 2017

Last updated

Aug 26, 2019By 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. Soo Uhm, PHDNPI 1265962146

Title

President

Phone

(415) 689-9441

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.

• Soo Uhm, PHD

  • Clinical Psychologist
  • San Mateo, CA
  • NPI 1265962146
  NPD Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1760912570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S EL CAMINO REAL STE A",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022802",
            "telephone_number": "415-689-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 N Shoreline Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940434605",
            "country_code": "US",
            "telephone_number": "415-689-9441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR SOO UHM LICENSED PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "UHM",
        "authorized_official_first_name": "SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-689-9441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.