DR. KISOOK PAIK CHANG M.D.
NPI 1205992757
Psychiatry & Neurology - Psychiatry in Fayetteville, NC

NPI Status: Active since December 29, 2006

Contact Information

803 STAMPER RD STE G
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 223-7114
Fax: (910) 672-7953

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Psychiatry

About KISOOK CHANG

This page provides the complete NPI Profile along with additional information for Kisook Chang, a provider established in Fayetteville, North Carolina with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1205992757 assigned on December 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 19748 (NC). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1205992757
Provider Name
DR. KISOOK PAIK CHANG M.D.
Gender
Female
Entity Type
Individual
Location Address
803 STAMPER RD STE G FAYETTEVILLE, NC 28303
Location Phone
(910) 223-7114
Location Fax
(910) 672-7953
Mailing Address
803 STAMPER RD STE G FAYETTEVILLE, NC 28303
Mailing Phone
(910) 223-7114
Mailing Fax
(910) 672-7953
Is Sole Proprietor?
No
Enumeration Date
12-29-2006
Last Update Date
02-19-2020
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A psychiatrist like Kisook Chang are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
19748
License State
NC
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

19748 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8921998MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205992757
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051894710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 9 + 4 + 7 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1205992757 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700856788KV CONSULTANTS & ASSOCIATES INC
Organization
Counselor (Mental Health)803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
(910) 223-7114
1386979763MS. REGINA CASSANDRA KELLY LCSW
Individual
Social Worker (Clinical)803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
(910) 261-5941
1821460619MRS. DONNA JANE WOMACK-MILLER MSW, LCSW
Individual
Social Worker (Clinical)803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
(910) 223-7114
1104481027 PURLIE DEESE LCAS
Individual
Counselor (Addiction (Substance Use Disorder))803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
(910) 223-7114
1477839967MRS. FLORCITA ELIZABETH HANCOCK-RIOS LPC LCAS
Individual
Counselor (Professional)803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
(910) 223-7114
1215089164 GWENDOLYN JEAN FRANKLIN M.S., L.C.S.W.
Individual
Social Worker (Clinical)803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
(910) 223-7114
1891910113MRS. MADRIAN GLOVER GARRICK LCSW
Individual
Social Worker (Clinical)803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
(910) 223-7114
1245651595MS. KATHY E CUMMINGS LCAS, CCS
Individual
Counselor (Addiction (Substance Use Disorder))803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
(910) 223-7114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205992757, enumerated in the NPI registry as an "individual" on December 29, 2006

The provider is located at 803 Stamper Rd Ste G Fayetteville, Nc 28303 and the phone number is (910) 223-7114

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.