DR. YUKYUNG JUNG


Address: 1617 Hemphill St, Fort Worth, TX 76104-4709
Phone: 8177023100

DR. YUKYUNG JUNG (NPI# 1164782256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164782256
Entity Type Individual
Full Name DR. YUKYUNG JUNG
Other Name DR. YUKYUNG MICHELLE JUNG
Credential M.D.
Practice Address 1617 Hemphill St
Fort Worth
TX 76104-4709
Mailing Address 595 Gerard Ave
Fl 2
Bronx
NY 10451-5239
Practice Telephone 8177023100
Mailing Telephone 7187426061
Mailing Fax Number 7187426016
Enumeration Date 2012-05-22
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
273333 NY Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
273333 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
595 Gerard Ave, Fl 2, Bronx, NY 104515239 7187426061 7187426016

Office Location

Street Address 1617 HEMPHILL ST
City FORT WORTH
State TX
Zip Code 76104-4709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487616561 Cynthia Anne Claassen Psychologist 1617 Hemphill St, Fort Worth, TX 76104 2006-04-05
1447802814 Stefanie Lynn Smith Physician Assistant 1617 Hemphill St, Fort Worth, TX 76104-4709 2019-07-15
1073087805 Kosisochukwu Mora Physician Assistant 1617 Hemphill St, Fort Worth, TX 76104-4709 2019-01-15
1760954655 Sofia Mohammad Abdulaziz Physician Assistant 1617 Hemphill St, Fort Worth, TX 76104-4709 2018-12-18
1821595554 Katherine Mary Weber Psychologist 1617 Hemphill St, Fort Worth, TX 76104-4709 2018-04-09
1760993398 Ifeoma Nwankwo Nurse Practitioner 1617 Hemphill St, Fort Worth, TX 76104 2017-10-23
1215395405 Ashley Baillio Nurse Practitioner 1617 Hemphill St, Fort Worth, TX 76104-4709 2016-02-03
1659633311 Michele D. Lightfoot Nurse Practitioner 1617 Hemphill St, Fort Worth, TX 76104-4709 2012-06-08
1285912931 Jps Physician Group, Inc Family Medicine 1617 Hemphill St, Fort Worth, TX 76104-4709 2011-07-29
1528397122 Wei Yu Physician Assistant 1617 Hemphill St, Jps Physician Group, Fort Worth, TX 76104-4709 2009-12-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942839113 Fort Physicians & Professionals Pllc Psychiatry & Neurology 7140 Oakmont Boulevard, Fort Worth, TX 76132 2020-04-08
1497098735 Lan Chi Le Vo Psychiatry & Neurology 4141 Jenny Lake Trl, Fort Worth, TX 76244-6923 2013-04-05
1376766931 Roger R Robinson Psychiatry & Neurology 1701 River Run Road, Ste 700, Fort Worth, TX 76107-6579 2007-04-11
1477646560 Shanti S Nagireddy Psychiatry & Neurology 1300 S University Dr, Ste 200, Fort Worth, TX 76107-5737 2006-10-02
1073521019 Farida Ali Psychiatry & Neurology 1220 W Presidio St, Fort Worth, TX 76102 2006-08-04
1063965259 Svs Psychiatry Pllc Psychiatry & Neurology 5560 Mesa Springs Dr, Fort Worth, TX 76123-2120 2016-07-25
1215321104 Meredith Melton Lavallais Psychiatry & Neurology 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722 2015-03-27
1578905360 Sreenath Nekkalapu Psychiatry & Neurology 5560 Mesa Springs Dr, Fort Worth, TX 76123-2120 2013-07-23
1760709547 Kristen Pyrc Psychiatry & Neurology 901 7th Ave, Fort Worth, TX 76104-2722 2010-05-03
1306040977 Alesha Jayne Hill Psychiatry & Neurology 1300 W Lancaster Ave, Ste 205, Fort Worth, TX 76102-3499 2007-06-14
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Competitor

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City FORT WORTH
Zip Code 76104

Improve Information

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Dataset Information

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.

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