Kwang H Choi, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041982A Issued in IN

Practice address

9645 Lincolnway LN Ste 207a
Frankfort, IL 60423-1908

Phone

(815) 277-7012

Fax

(844) 859-1447

NPI assigned

Aug 5, 2006

Last updated

Dec 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 1, 2018 through Nov 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Partners in Psychotherapy & Assessment

  • Clinical Psychologist
  • Frankfort, IL
  • NPI 1710058417
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1770592990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 LINCOLNWAY LN STE 207A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231908",
            "telephone_number": "815-277-7012",
            "fax_number": "844-859-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 LINCOLNWAY LN STE 207A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231908",
            "telephone_number": "815-277-7012",
            "fax_number": "844-859-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "KWANG",
        "middle_name": "H",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041982A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "800579000",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200542420",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "N7997725",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "90001228",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000361964",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bertrand D Chauff, CRNA
• Paul A Chemello, D.O.
• Chicago Stem Cell Therapy Institute, LLC
• Julie Anne Chicvara, PSYD, LCP
• Childrens Therapy Specialist
• Tammie Chopp, LCPC, CADC
• Jennifer Christie
• Venetia B Clark, RPH
• Allison Anna Clendening, RN
• Bun Siu L. Co, MD

• Clinical Psychologist in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.