Kenny K. Chan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

201 8TH St
San Francisco, CA 94103-3910

Phone

(415) 487-3719

Fax

(415) 487-3729

NPI assigned

Oct 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Kenny K. Chan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Episcopal Community Services of San Francisco

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1851437370
  NPD (past)
• Episcopal Community Services of San Francisco

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1982740080
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1275722902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 8TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033910",
            "telephone_number": "415-487-3719",
            "fax_number": "415-487-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 8TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033910",
            "telephone_number": "415-487-3719",
            "fax_number": "415-487-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KENNY",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNY",
            "last_name": "CHAN",
            "middle_name": "K.",
            "prefix": "MR.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine Maw Chan, MD
• Kayne Yu Chan, PHARMD
• Keith Wei Chan, M.D.
• Kelland Chan
• Kenneth Dong Chan, MD
• Kristen Chan
• Kwok L Chan, M.D.
• Lai Hun Chan, NP
• Latisha Chan, DDS
• Lauren Chan

• Mental Health Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.