Individual provider Active NPI

Elizabeth Pinghwa Chang, PSY.D.

  • Clinical Psychologist
  • Monrovia, CA
National Provider Identifier
1225292097
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25501 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529000363 CA Practitioner - Clinical Psychologist 9133359607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY25501CAMDClinical Psychologist
25501CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics CurrentSince Mar 1, 2022 Accepting new patients
Pacific Clinics CurrentSince Mar 1, 2022 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.

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

Verify at the official NPI Registry.