Active NPI
Elizabeth Pinghwa Chang, PSY.D.
- Clinical Psychologist
- Monrovia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25501
- Practice address
- 902 S Myrtle Ave
Monrovia, CA 91016-3427 - Phone
- (626) 216-5915
- NPI assigned
- Jul 10, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY25501 | CA | Primary |
Addresses
Primary practice location
902 S Myrtle Ave
Monrovia, CA 91016-3427
Mailing address
902 S Myrtle Ave
Monrovia, CA 91016-3427
Phone (626) 216-5915
Other practice location 1
4929 Wilshire Blvd Ste 510
Los Angeles, CA 90010-3820
Phone (562) 904-3999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25501 | CA | MD | Clinical Psychologist |
| 25501 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Current | Accepting new patients | |
| Pacific Clinics | Current | Accepting new patients | |
| Pacific Clinics | Current | Accepting new patients |
Locations
251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083
902 S Myrtle Ave
Fl 1
Monrovia, CA 91016
Phone (626) 303-1541
902 S Myrtle Ave
Monrovia, CA 91016
Phone (626) 303-1541
2550 E Foothill Blvd
Fl 2
Pasadena, CA 91107
Phone (626) 802-0909
1020 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 403-2794
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Campbell, CA
- NPI 1255496105
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1336458934
-
- Community/Behavioral Health Agency
- El Monte, CA
- NPI 1518624030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1225292097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 S MYRTLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163427",
"telephone_number": "626-216-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S MYRTLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163427",
"telephone_number": "626-216-5915"
}
],
"practiceLocations": [
{
"address_1": "4929 Wilshire Blvd Ste 510",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900103820",
"country_code": "US",
"telephone_number": "562-904-3999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "ELIZABETH PINGHWA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.