Active NPI
Un Chu Agnes Oh, PSY.D., LMFT
- Psychologist
- Glendale, CA
National Provider Identifier
1063531523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 23845
- Practice address
- 1010 N Central Ave # 315
Glendale, CA 91202 - Phone
- (818) 441-1096
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 45121 | CA | |
| Psychologist | 103T00000X | 23845 | CA | Primary |
Addresses
Primary practice location
1010 N Central Ave # 315
Glendale, CA 91202
Mailing address
1010 N Central Ave # 315
Glendale, CA 91202-2937
Phone (818) 441-1096
Other practice location 1
1010 N Central Ave # 315
Glendale, CA 91202
Phone (818) 441-1096
Other names 1
- Dr. Un Chu Agnes Oh
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23845 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extraordinary You/Dr. Agnes Oh | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1063531523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N CENTRAL AVE # 315",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022937",
"telephone_number": "818-441-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N CENTRAL AVE # 315",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91202",
"telephone_number": "818-441-1096"
}
],
"practiceLocations": [
{
"address_1": "1010 N Central Ave # 315",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "91202",
"country_code": "US",
"telephone_number": "818-441-1096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OH",
"first_name": "UN CHU",
"middle_name": "AGNES",
"name_prefix": "Dr.",
"credential": "PSY.D., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45121",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "23845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "UN CHU",
"last_name": "OH",
"middle_name": "AGNES",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.