Organization Active NPI

Jeannie Chang Psychologist Inc.

  • Psychologist
  • Sacramento, CA
National Provider Identifier
1124899877
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JEANNIE CHANG PSYCHOLOGIST INC.
Practice address
1401 21St St Ste R
Sacramento, CA 95811-5226
Phone
(415) 860-5914
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Jeannie Chang
Title
Owner
Phone
(415) 860-5914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1401 21St St Ste R
Sacramento, CA 95811-5226

Mailing address

867 34TH Ave
San Francisco, CA 94121-3433

Other names 1

  • JEANNIE CHANG PSYCHOLOGIST INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1124899877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 34TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 21ST ST STE R",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "415-860-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE CHANG PSYCHOLOGIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-860-5914"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEANNIE CHANG PSYCHOLOGIST INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.