Organization Active NPI

Catherine Chan, PH.D., Psychologist, Inc.

  • Psychologist
  • Concord, CA
National Provider Identifier
1215526025
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CATHERINE CHAN, PH.D., PSYCHOLOGIST, INC.
Practice address
1485 Civic CT Ste 1355
Concord, CA 94520-5279
Phone
(925) 822-3238
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Catherine Chan, PH.D.NPI 1669723771
Title
Owner
Phone
(925) 822-3238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1485 Civic CT Ste 1355
Concord, CA 94520-5279

Mailing address

1485 Civic CT Ste 1355
Concord, CA 94520-5279
Phone (925) 822-3238

National Provider Directory

National Provider Directory

Locations

1485 Civic Ct
Ste 1355
Concord, CA 94520
Phone (925) 822-3238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1215526025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 CIVIC CT STE 1355",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205279",
            "telephone_number": "925-822-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 CIVIC CT STE 1355",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205279",
            "telephone_number": "925-822-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE CHAN, PH.D., PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-822-3238",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.