Active NPI
Barry Allen Hong, PSYD
- Psychologist
- Saint Louis, MO
National Provider Identifier
1831126218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00684
- Practice address
- 4940 Childrens PL
RM 3308
Saint Louis, MO 63110-1000 - Phone
- (314) 286-1700
- Fax
- (314) 362-7017
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00684 | MO | Primary |
Addresses
Primary practice location
4940 Childrens PL
RM 3308
Saint Louis, MO 63110-1000
Mailing address
4511 Forest Park Ave
Ste 4300
Saint Louis, MO 63108-2138
Phone (314) 286-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493741508 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 684 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1831126218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 FOREST PARK AVE",
"address_2": "STE 4300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082138",
"telephone_number": "314-286-1700",
"fax_number": "314-408-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 CHILDRENS PL",
"address_2": "RM 3308",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101000",
"telephone_number": "314-286-1700",
"fax_number": "314-362-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "BARRY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "00684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493741508",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4940 Childrens Pl",
"address_2": "RM 3308",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.