Irene Chang, LEP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

3696 Issued in CA

Practice address

13032 Bitney Springs Rd
Nevada City, CA 95959-9017

Phone

(530) 273-7736

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Nevada City School of the Arts

  • Local Education Agency (LEA)
  • Nevada City, CA
  • NPI 1093696783
  NPD

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1174082796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13032 BITNEY SPRINGS RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599017",
            "telephone_number": "530-273-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13032 BITNEY SPRINGS RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599017",
            "telephone_number": "530-273-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "LEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Casey
• Jacquelyn Castino-Reynolds
• Michele Renee Castro
• Center for Inner Visions
• Patricia Ann Chaballa, RN
• Charles P. Sternberg, MD., Inc.
• Brianne Chavez
• Paula Elaine Chomistek, LCSW
• Julie Choquette
• Joseph Franz Christensen, IMF

• School Psychologist in Nevada City, CA
• Providers in Nevada City, CA by specialty
• School Psychologist in California

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