Organization Active NPI

Sufen Chiu, M.D., Psychiatrist, Inc.

  • Psychiatry Physician
  • Davis, CA
National Provider Identifier
1396943833
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G86593 Issued in CA
Legal business name
SUFEN CHIU, M.D., PSYCHIATRIST, INC.
Practice address
2657 Portage Bay E Ste 3
Davis, CA 95616-3040
Phone
(530) 219-2750
Fax
(877) 844-1699
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Dr. Sufen Chiu, M.D.
Title
President
Phone
(530) 219-2750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X G86593 CA Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X G86593 CA

Addresses

Primary practice location

2657 Portage Bay E Ste 3
Davis, CA 95616-3040

Mailing address

PO Box 73284
Davis, CA 95617-3284
Phone (530) 219-2750

Other identifiers 2

IdentifierTypeStateIssuer
00G865930MedicaidCA
1336124486OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

2657 Portage Bay E
Ste 3
Davis, CA 95616
Phone (530) 219-2750

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1396943833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73284",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956173284",
            "telephone_number": "530-219-2750",
            "fax_number": "877-844-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 PORTAGE BAY E STE 3",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163040",
            "telephone_number": "530-219-2750",
            "fax_number": "877-844-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFEN CHIU, M.D., PSYCHIATRIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "SUFEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-219-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G86593",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G86593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G865930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336124486",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.