NPIMap

Organization Active NPI

Adrian Chiu, PH.D., PLLC

  • Psychologist
  • Ambler, PA
National Provider Identifier
1366890337
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017709 Issued in PA
Legal business name
ADRIAN CHIU, PH.D., PLLC
Practice address
300 Brookside Ave BLDG 4 Ste 125
Ambler, PA 19002-3436
Phone
(267) 702-4862
Fax
(267) 722-4362
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Authorized official

Name
Adrian Chiu, PH.D.NPI 1881090751
Title
Owner
Phone
(267) 702-4862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS017709 PA Primary
Community/Behavioral Health Agency 251S00000X PS017709 PA

Addresses

Primary practice location

300 Brookside Ave BLDG 4 Ste 125
Ambler, PA 19002-3436

Mailing address

300 Brookside Ave BLDG 4 Ste 125
Ambler, PA 19002-3436
Phone (267) 702-4862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160711000559 PA Part B Supplier - Clinic/Group Practice 0042502106 Receives reassigned benefits from 1 practitioner
Practice locations: Ambler, PA

National Provider Directory

National Provider Directory

Locations

123 S Broad St
Ste 1948
Philadelphia, PA 19109
Phone (267) 702-4862

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1366890337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE BLDG 4 STE 125",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "267-702-4862",
            "fax_number": "267-722-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE BLDG 4 STE 125",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "267-702-4862",
            "fax_number": "267-722-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN CHIU, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-702-4862",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017709",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS017709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.