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Dr. Young Geon Koh , PsyD

Psychologist β€’ Grapevine, TX

Active NPI 1114649852 Individual Practitioner Male Practitioner
Practice location in NPPES

625 W College St
Grapevine, TX 760515283

Call 4692527090 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

625 W College St

Grapevine, TX 760515283

Telephone 4692527090
Organization at the Same NPPES Address or Phone
Thomas M.l. Kelly, Ed.d., Pa Facility NPI 1720024532

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grapevine and Texas

11 active clinicians are listed under Psychologist with a practice address in Grapevine, TX (2,141 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grapevine

0% of these 11 clinicians have the CMS telehealth indicator.

27.3% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-23
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES TX 38872

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address June 23, 2023

Registered at 625 W COLLEGE ST, GRAPEVINE, TX 760515283

πŸ“
Updated Practice Location October 12, 2022

Registered at 625 W COLLEGE ST, GRAPEVINE, TX 760515283 (Tel: 4692527090)

βœ…
NPI Profile Active September 19, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 19, 2022

Registered at 1001 CROSS TIMBERS RD, FLOWER MOUND, TX 750281371 (Tel: 9729661079)

πŸ“
Business Mailing Address (Initial Record) September 19, 2022

Registered at 4001 S BROADWAY AVE APT 1128, FLOWER MOUND, TX 750287686

πŸ‘€
Provider Name / Credentials (Initial Record) September 19, 2022

Recorded as YOUNG GEON KOH, PSYD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2022

Psychologist (license number reported to NPPES: TX 38872)

🟒
Initial NPI Registration & Enumeration September 19, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114649852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2022
Last Update: June 23, 2023
Sole Proprietor: Yes

Mailing Address

625 W College St

Grapevine, TX 760515283

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.