Organization Active NPI

Miran Choi MD

  • Psychiatry Physician
  • Berkeley, CA
National Provider Identifier
1790326403
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIRAN CHOI MD
Practice address
2305 Ashby Ave
Berkeley, CA 94705-1909
Phone
(510) 684-6834
Fax
(510) 849-1495
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Dr. Miran Choi, MDNPI 1770644452
Title
Provider
Phone
(510) 867-7425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

2305 Ashby Ave
Berkeley, CA 94705-1909

Mailing address

2625 Alcatraz Ave Ste 196
Berkeley, CA 94705-2702
Phone (510) 867-7425

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://patients.ntreatment.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1790326403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ALCATRAZ AVE STE 196",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052702",
            "telephone_number": "510-867-7425",
            "fax_number": "510-849-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051909",
            "telephone_number": "510-684-6834",
            "fax_number": "510-849-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAN CHOI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "MIRAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "510-867-7425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://patients.ntreatment.com",
            "affiliation": "N",
            "address_1": "2305 Ashby Ave",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947051909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.