Healthcare Provider Details

I. General information

NPI: 1972407443
Provider Name (Legal Business Name): JIHEE CHO PHD PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 BROADWAY APT 716
ASTORIA NY
11106-4970
US

IV. Provider business mailing address

1215 BROADWAY APT 716
ASTORIA NY
11106-4970
US

V. Phone/Fax

Practice location:
  • Phone: 917-740-1419
  • Fax:
Mailing address:
  • Phone: 217-766-3853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JIHEE CHO
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 217-766-3853