Individual provider Active NPI

Heng-Hsian Nancy Liu

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1033428867
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26859 Issued in CA
Practice address
2121 Berkeley Way # Mc1650
Berkeley, CA 94720-2502
Phone
(510) 643-8850
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X 26859 CA Primary

Addresses

Primary practice location

2121 Berkeley Way # Mc1650
Berkeley, CA 94720-2502

Mailing address

2121 Berkeley Way # Mc1650
Berkeley, CA 94720-2502
Phone (510) 643-8850

Other practice location 1

2201 S 17th St
Community Mental Health Center
Lincoln, NE 68502-3713
Phone (214) 205-6945

Other practice location 2

1001 Potrero Ave # 7M
San Francisco, CA 94110-3518
Phone (415) 206-8426

Other names 1

  • Dr. Nancy H Liu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26859CAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1033428867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BERKELEY WAY # MC1650",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202502",
            "telephone_number": "510-643-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BERKELEY WAY # MC1650",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202502",
            "telephone_number": "510-643-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 S 17th St",
            "address_2": "Community Mental Health Center",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023713",
            "country_code": "US",
            "telephone_number": "214-205-6945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Potrero Ave # 7M",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-8426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "HENG-HSIAN",
        "middle_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "LIU",
            "middle_name": "H",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.