Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861709990 Individual Practitioner Male Practitioner

Dr. Paul Kwon , PhD

Psychologist • Lewiston, ID

Professional Overview & Biography Verified Profile Summary

Dr. Paul Kwon, PhD is a registered healthcare professional specializing in Psychologist in Lewiston, ID. Practice services are available at 422 17TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

422 17th St

Lewiston, ID 835012526

Telephone 2087434680
Fax 2087431756
Associated Practice Facility / Clinic
🏢 Dr. Kracke And Associates P A Facility NPI 1851448781

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Lewiston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.0 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Lewiston, ID (175 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License ID PSY-202538

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License WA PY 00002290

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
806177700 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1164416749

Doctor of Philosophy (Ph.D.)

Teri Rainey , MED, LPC

Counselor - Mental Health

NPI 1407049497

Master of Education, Licensed Professional Counselor

NPI 1558354290

Doctor of Philosophy (Ph.D.)

Leta Storey , LCSW

Social Worker - Clinical

NPI 1669712659

Licensed Clinical Social Worker

Carrie Gurgel , MED

Counselor - Mental Health

NPI 1710970462

Master of Education

Imelda Daley , MS

Counselor - Mental Health

NPI 1760475347

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2010

Registered at 422 17TH ST, LEWISTON, ID 835012526 (Tel: 2087434680)

📍
Updated Business Mailing Address September 10, 2010

Registered at PO BOX 2145, LEWISTON, ID 835011465 (Tel: 2087434680)

👤
Provider Name / Credentials Updated September 10, 2010

Recorded as PAUL KWON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2010

Psychologist (License #PSY-202538 in ID)

🟢
Initial NPI Registration & Enumeration September 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861709990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2010
Last Update: September 10, 2010
Sole Proprietor: No

Mailing Address

Po Box 2145

Lewiston, ID 835011465

Phone: 2087434680

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.