Berlynn Ching, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Orange, CA
NPI 1306199906 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1306199906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP 23701 (CA)
- Practice address
- 1855 W Katella Ave Ste 150
Orange, CA 92867-3432 - Phone
- (714) 991-4673
- NPI assigned
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- College Community Services
Practice addresses (Care Compare)
1855 W Katella Ave
Suite 150
Orange, CA 92867-3432
Phone (714) 399-3480
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140630000375 | CA | Practitioner - Nurse Practitioner | 3375768666 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23701 | CA | MD | Occupational Therapist |
| NP 23701 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Current |
Accepting new patients | |
| College Community Services | Current |
Accepting new patients |
Locations
1855 W Katella Ave
Ste 150
Orange, CA 92867
Phone (714) 399-3480
8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP 23701 | CA | Yes |
Addresses
Primary practice location
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Mailing address
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Phone (714) 991-4673
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP 23701 | Other | CA | NURSE PRACTITIONER |
Other providers in Orange, CA
- Peggy Bikkay Chin
- Sophia Chin
- Theresa Chin
- Dinora Beatriz Chinchilla
- Chinese Acupuncture Clinic, Inc.
- Janelle Ching
- Simon Ching
- Monica Chelsea Spitzer Chisholm
- Patrick Chisum
- Christina Chen Chituc
All providers in Orange, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.