Individual provider Active NPI

Soowhan Choi, PHD

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1851049803
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
110003 Issued in IA
Practice address
7130 S 29TH St Ste G
Lincoln, NE 68516-5841
Phone
(816) 501-6069
NPI assigned
Mar 17, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 110003 IA Primary

Addresses

Primary practice location

7130 S 29TH St Ste G
Lincoln, NE 68516-5841

Mailing address

7555 Diamond CT
Lincoln, NE 68506-4742
Phone (816) 501-6069

Other practice location 1

7555 Diamond Ct
Lincoln, NE 68506-4742
Phone (816) 501-6069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221031003000 NE Practitioner - Psychologist Billing Independently 1759758931 Reassigns benefits to 1 organization
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1089NEMDAddiction (Substance Use Disorder) Counselor
110003IAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Psychological Services LLC Psychologist CurrentSince Jan 18, 2026 Accepting new patients

Locations

7130 S 29th St
Ste G
Lincoln, NE 68516
Phone (402) 202-7273

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1851049803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 DIAMOND CT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064742",
            "telephone_number": "816-501-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 S 29TH ST STE G",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165841",
            "telephone_number": "816-501-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7555 Diamond Ct",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685064742",
            "country_code": "US",
            "telephone_number": "816-501-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SOOWHAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "110003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.