Active NPI
Chu Chian Chong, PHD
- Clinical Psychologist
- Collegeville, PA
National Provider Identifier
1427666726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS019027
- Practice address
- 789 E Main St
Collegeville, PA 19426 - Phone
- (940) 600-7977
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 | PS019027 | PA | Primary |
Addresses
Primary practice location
789 E Main St
Collegeville, PA 19426
Mailing address
789 E Main St
Collegeville, PA 19426
Phone (940) 600-7977
Other practice location 1
510 Brighton Rd
Collegeville, PA 19426-1756
Phone (940) 600-7977
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019027 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1427666726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 E MAIN ST",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "19426",
"telephone_number": "940-600-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 E MAIN ST",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "19426",
"telephone_number": "940-600-7977"
}
],
"practiceLocations": [
{
"address_1": "510 Brighton Rd",
"address_purpose": "LOCATION",
"city": "Collegeville",
"state": "PA",
"postal_code": "194261756",
"country_code": "US",
"telephone_number": "940-600-7977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHONG",
"first_name": "CHU CHIAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2021-02-08",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.