Summerlin Psychology LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SUMMERLIN PSYCHOLOGY LLC

Practice address

10501 W Gowan Rd Ste 260
Las Vegas, NV 89129-6603

Phone

(702) 758-4587

NPI assigned

Mar 31, 2023

Last updated

Mar 31, 2023By 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. Sung Cho, PSYDNPI 1770789307

Title

Sole Member

Phone

(702) 758-4587

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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.

• Sung J Cho, PSY.D.

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1770789307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1770288789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 LAVENDER HILL DR # 160-605",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352955",
            "telephone_number": "702-758-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 W GOWAN RD STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296603",
            "telephone_number": "702-758-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "702-758-4587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerlin Hospital Medical Center L L C (Summerlin Hospital Medical Center)
• Summerlin Hospital Medical Center L L C (ER at South Summerlin, Extension of Summerlin Hospital)
• Summerlin Massagenv, LLC
• Summerlin Medical
• Summerlin Pelvic and Physical Therapy LLC
• Summerlin Smiles
• Summerlin Surgical Associates
• Summerlin Therapy & Couples Counseling
• Summerlin Vision Center Inc
• Donaldsu Summerlin

• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.