DR. HYUN JIN CHUNG (NPI# 1184222077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184222077 |
| Entity Type | Individual |
| Full Name | DR. HYUN JIN CHUNG |
| Credential | PHD |
| Practice Address |
789 Park Ave Cranston RI 02910-2036 |
| Mailing Address |
39 Hampden Rd East Falmouth MA 02536-6457 |
| Practice Telephone | 4014214561 |
| Practice Fax Number | 4012433001 |
| Mailing Telephone | 4015750381 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS01854 | RI | Behavioral Health & Social Service Providers |
| Street Address |
789 PARK AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659382315 | Northeast Behavioral Associates | Psychologist | 744 Park Ave, Suite 6, Cranston, RI 02910-2150 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285269456 | Insight Neuropsychology LLC | Psychologist | 355 Hope St Fl 2, Providence, RI 02906-1633 | 2020-03-09 |
| 1972843530 | Christine Elizabeth Mcauliffe | Psychologist | 93 Tower Street, Westerly, RI 02891 | 2013-02-19 |
| 1548381247 | Steven - Colucci | Psychologist | 215 Pinecrest Dr, North Kingstown, RI 02852-5909 | 2007-04-02 |
| 1942367412 | Natalia Duke Mieczynski | Psychologist | 1011 Veterans Memorial Parkway, Emma Pendleton Bradley Hospital, East Providence, RI 02915-5061 | 2007-01-03 |
| 1427671379 | Marykate Oakley | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-05-27 |
| 1891329934 | Mary Kathryn Cancilliere | Psychologist | 25 Charles St, Barrington, RI 02806-3907 | 2020-02-27 |
| 1245881002 | Katelyn Affleck | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5099 | 2019-09-24 |
| 1255981247 | Preeti Sandhu | Psychologist | 1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 | 2019-09-12 |
| 1396309043 | Neha Chetan Haria | Psychologist | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2019-04-29 |
| 1023671799 | Kathryn A Simon | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2019-04-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.