BONG SOO EUN (NPI# 1124275664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124275664 |
| Entity Type | Individual |
| Full Name | BONG SOO EUN |
| Credential | PHD |
| Practice Address |
9702 Gayton Rd #181 Richmond VA 23238-4907 |
| Practice Telephone | 8047417500 |
| Practice Fax Number | 8047417900 |
| Mailing Telephone | 8047417500 |
| Mailing Fax Number | 8047417900 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810001902 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA STATE MEDICAL LICENSE | 0810001902 | 01 |
| Street Address |
9702 GAYTON RD #181 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23238-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326005356 | Bede A.r. Pantaze | Psychologist | 9702 Gayton Rd, #181, Richmond, VA 23238-4907 | 2006-04-26 |
| 1508280025 | Joyce Law | Social Worker | 9702 Gayton Rd, Suite 181, Richmond, VA 23238-4907 | 2014-02-05 |
| 1922385269 | Macario Giraldo | Psychologist | 9702 Gayton Rd, Suite 181, Richmond, VA 23238-4907 | 2011-11-15 |
| 1457637209 | M. Paige Young | Social Worker | 9702 Gayton Rd, Suite 181, Richmond, VA 23238-4907 | 2011-10-25 |
| 1346538014 | Steven Lawrence Darling | Social Worker | 9702 Gayton Rd, 181, Richmond, VA 23238-4907 | 2011-07-15 |
| 1649568338 | Kimberly Starr Rowan | Psychologist | 9702 Gayton Rd, Suite 181, Richmond, VA 23238-4907 | 2011-07-14 |
| 1306133962 | Larry R Hester | Psychologist | 9702 Gayton Rd, Suite 181, Richmond, VA 23238-4907 | 2011-07-05 |
| 1902190606 | Barbara L Ambrose | Social Worker | 9702 Gayton Rd, #181, Richmond, VA 23238-4907 | 2011-05-31 |
| 1558677823 | Andrew L Klein | Psychologist | 9702 Gayton Rd, 181, Richmond, VA 23238-4907 | 2010-08-25 |
| 1346562253 | Melissa Anne Weaver | Social Worker | 9702 Gayton Rd, #181, Richmond, VA 23238-4907 | 2010-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1093378028 | Neepaben C Patel | Physical Therapist | 2620 A Gaskins Rd, Henrico, VA 23238 | 2019-04-16 |
| 1598246530 | Mohini T Chandra | Occupational Therapist | 1900 Lakewood Drive, Richmond, VA 23238 | 2018-08-28 |
| 1275035743 | Henry Davis Holland Jr. | Speech-Language Pathologist | 1773 Robins Nest Ct., Henrico, VA 23238 | 2018-03-01 |
| 1811352651 | Taylor Krafcik | Acupuncturist | 10617 Patterson Ave, Henrico, VA 23238 | 2015-12-21 |
| 1245603430 | Ashley Sharice Crawley | Physical Therapist | 1209 Falstaff Court, Henrico, VA 23238 | 2015-11-10 |
| 1174966832 | Milton Alexander Boyd | Internal Medicine | 1531 Monmouth Pl, Richmond, VA 23238 | 2013-04-12 |
| 1760778534 | Terri Esposito | Physical Therapist | 1600 John Rolfe Pkwy., Richmond, VA 23238 | 2011-06-21 |
| 1073841649 | Pulmonary Assessments | Clinic/Center | 149 West Square Ct, Richmond, VA 23238 | 2009-11-19 |
| 1538329156 | Michael B Holbert | Dentist | 2620-b Gaskins Road, Richmond, VA 23238 | 2008-06-17 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1346679404 | Mollie Lyddane | Psychologist | 2 Bayside Ct, Richmond, CA 94804-7441 | 2013-11-08 |
| 1649617051 | Kathryn Rose Hefner | Psychologist | 2123 Rosewood Avenue, Richmond, VA 23220 | 2013-05-24 |
| 1639430093 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Psychologist | 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 | 2012-06-01 |
| 1316248297 | Carolyn Etheridge Harrington | Psychologist | 5322 Stokes Ln, Richmond, VA 23226-1918 | 2010-11-09 |
| 1740502269 | Lynda Ann Benson Fereday | Psychologist | 521 Lancaster Ave Rm 571, Richmond, KY 40475-3100 | 2010-02-25 |
| 1104067495 | Arts for Replenishment and Change, Pllc | Psychologist | 530 E Main St Ste 420, Richmond, VA 23219-2431 | 2009-03-16 |
| 1255577573 | Mark Stuart Pirie | Psychologist | 631 30th St, Richmond, CA 94804-1525 | 2008-12-17 |
| Find all providers in RICHMOND | ||||
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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.