Active NPI
Man Sum Chung, PH.D., LBA, BCBA-D
- Behavior Analyst
- Bellevue, WA
National Provider Identifier
1962732230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4846
- Practice address
- 2310 130TH Ave. NE Suite 100
Bellevue, WA 98005 - Phone
- (425) 882-8868
- Fax
- (425) 633-2282
- NPI assigned
- Jan 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-08-4846 | WA | |
| Behavior Analyst | 103K00000X | LBABA60765071 | WA | |
| Behavior Analyst | 103K00000X | 1-08-4846 | Primary |
Addresses
Primary practice location
2310 130TH Ave. NE Suite 100
Bellevue, WA 98005
Mailing address
2310 130TH Ave. NE Suite 202
Bellevue, WA 98005
Phone (425) 882-8868
Other names 1
- Ivy Man Sum Chung
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBABA60765071 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sum of Learning, LLC | 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.
-
- Community/Behavioral Health Agency
- Bellevue, WA
- NPI 1033525084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1962732230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 130TH AVE. NE SUITE 202",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98005",
"telephone_number": "425-882-8868",
"fax_number": "425-633-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 130TH AVE. NE SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98005",
"telephone_number": "425-882-8868",
"fax_number": "425-633-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "MAN SUM",
"credential": "PH.D., LBA, BCBA-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "1-08-4846",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "LBABA60765071",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-08-4846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IVY MAN SUM",
"last_name": "CHUNG",
"credential": "PH.D., LBA, BCBA-D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.