Active NPI
Chunyu Pu, PH.D.
- Clinical Psychologist
- Cupertino, CA
National Provider Identifier
1447565189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15901
- Practice address
- 19925 Stevens Creek Blvd
Suite 100
Cupertino, CA 95014-2300 - Phone
- (408) 219-2320
- Fax
- (408) 298-7642
- NPI assigned
- Aug 17, 2010
- 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 | PSY15901 | CA | Primary |
Addresses
Primary practice location
19925 Stevens Creek Blvd
Suite 100
Cupertino, CA 95014-2300
Mailing address
PO Box 5063
San Jose, CA 95150-5063
Phone (408) 219-2320
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 |
|---|---|---|---|
| PSY15901 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1447565189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5063",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951505063",
"telephone_number": "408-219-2320",
"fax_number": "408-298-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19925 STEVENS CREEK BLVD",
"address_2": "SUITE 100",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142300",
"telephone_number": "408-219-2320",
"fax_number": "408-298-7642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PU",
"first_name": "CHUNYU",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.