Emily Shum and Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

EMILY SHUM AND ASSOCIATES

Doing business as

Wholistic Health Collaborative, P.C.

Practice address

9033 Base Line Rd Ste a
Rancho Cucamonga, CA 91730-1214

Phone

(909) 293-9124

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Emily Wear Shum, PH.D.NPI 1154986370

Title

Owner

Phone

(909) 239-9124

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• Wholistic Health Collaborative, P.C. Doing business as
• Emily Shum and Associates Other name

Locations

Practitioners 1

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

• Emily Wear Shum, PH.D.

  • Psychologist
  • Rancho Cucamonga, CA
  • NPI 1154986370
  NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1376391540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 BASE LINE RD STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 BASE LINE RD STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301214",
            "telephone_number": "909-293-9124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14772 Pipeline Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917096027",
            "country_code": "US",
            "telephone_number": "909-293-9124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 E Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928314015",
            "country_code": "US",
            "telephone_number": "909-293-9124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILY SHUM AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "SHUM",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "WEAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-239-9124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245791490",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1245791490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1154986370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholistic Health Collaborative, P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emily Shum and Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.