NPIMap

Individual provider Active NPI

Jennifer Chang-Tran, PH.D.

  • Psychologist
  • Houston, TX
National Provider Identifier
1114520202
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38255 Issued in TX
Practice address
3730 Kirby Dr Ste 800
Houston, TX 77098-3982
Phone
(713) 521-7575
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38255 TX Primary

Addresses

Primary practice location

3730 Kirby Dr Ste 800
Houston, TX 77098-3982

Mailing address

3730 Kirby Dr Ste 800
Houston, TX 77098-3982
Phone (714) 348-6506

Other names 1

  • Jennifer Chang Former 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
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Health Psychiatric Services New England PA Past Accepting new patients
Premier Psych Services LLC PastSince Nov 22, 2020 Accepting new patients
Larka Inc Psychologist PastSince Nov 22, 2020 Accepting new patients
Bend Health Psychiatric Services Kansas, P.a. Past Accepting new patients

Organizations & group practices 4

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1114520202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 KIRBY DR STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983982",
            "telephone_number": "714-348-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 KIRBY DR STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983982",
            "telephone_number": "713-521-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG-TRAN",
        "first_name": "JENNIFER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CHANG",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; 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.