Active NPI
Lori Chang, PSY.D.
- Clinical Psychologist
- Bonita Springs, FL
National Provider Identifier
1346275708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 6428
- Practice address
- 27499 Riverview Center Blvd
Bonita Springs, FL 34134-4313 - Phone
- (239) 403-8883
- Fax
- (239) 403-8883
- NPI assigned
- Jul 12, 2006
- 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 | PY 6428 | FL | Primary |
Addresses
Primary practice location
27499 Riverview Center Blvd
Bonita Springs, FL 34134-4313
Mailing address
14955 Sterling Oaks Dr
Naples, FL 34110-4104
Phone (239) 985-4086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 6428 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1346275708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14955 STERLING OAKS DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341104104",
"telephone_number": "239-985-4086",
"fax_number": "239-403-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27499 RIVERVIEW CENTER BLVD",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344313",
"telephone_number": "239-403-8883",
"fax_number": "239-403-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "LORI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 6428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.