Active NPI
Serena Chu, PHD
- Counseling Psychologist
- Bethesda, MD
National Provider Identifier
1083288393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0810005485
- Practice address
- 6001 Executive Boulevard
Bethesda, MD 20892-2457 - Phone
- (240) 478-0008
- NPI assigned
- May 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0810005485 | VA | Primary |
Addresses
Primary practice location
6001 Executive Boulevard
Bethesda, MD 20892-2457
Mailing address
6001 Executive Boulevard
Bethesda, MD 20892-9663
Phone (240) 478-0008
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005485 | VA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636761600000",
"number": "1083288393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 EXECUTIVE BOULEVARD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208929663",
"telephone_number": "240-478-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 EXECUTIVE BOULEVARD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208922457",
"telephone_number": "240-478-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "SERENA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2021-11-13",
"certification_date": "2021-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VA",
"license": "0810005485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.