Individual provider Active NPI

Candace H. Chorjel, PH.D.

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1457439838
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 9662 Issued in CA
Practice address
1570 The Alameda Ste 228
San Jose, CA 95126-2305
Phone
(408) 294-5585
Fax
(408) 294-6147
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 9662 CA Primary

Addresses

Primary practice location

1570 The Alameda Ste 228
San Jose, CA 95126-2305

Mailing address

1570 The Alameda Ste 228
San Jose, CA 95126-2305
Phone (408) 294-5585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000617 CA Practitioner - Clinical Psychologist 8224225990 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1570 The Alameda
San Jose, CA 95126-2305
Phone (408) 294-5585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 9662CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457439838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA STE 228",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262305",
            "telephone_number": "408-294-5585",
            "fax_number": "408-294-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA STE 228",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262305",
            "telephone_number": "408-294-5585",
            "fax_number": "408-294-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORJEL",
        "first_name": "CANDACE",
        "middle_name": "H.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 9662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.