Active NPI
Jaimie Sokheng Chou, PSYCHOLOGIST
- Clinical Psychologist
- Gardena, CA
National Provider Identifier
1477612646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY26593
- Practice address
- 879 W 190TH St Ste 720
Gardena, CA 90248-4205 - Phone
- (310) 217-7312
- NPI assigned
- Dec 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS22086 | CA | |
| Clinical Psychologist | 103TC0700X | PSY26593 | CA | Primary |
Addresses
Primary practice location
879 W 190TH St Ste 720
Gardena, CA 90248-4205
Mailing address
1720 E 120TH St
Los Angeles, CA 90059-3052
Phone (310) 668-3959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W2983D | Other | CA | MEDICARE GROUP |
Other names 1
- Dr. Jaimie Sokheng Pich
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26593 | CA | MD | Clinical Psychologist |
| 26593 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Coastal API Family MHC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gardena, CA
- NPI 1376576900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1477612646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593052",
"telephone_number": "310-668-3959",
"fax_number": "310-223-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 W 190TH ST STE 720",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484205",
"telephone_number": "310-217-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOU",
"first_name": "JAIMIE",
"middle_name": "SOKHENG",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS22086",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY26593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "W2983D",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAIMIE",
"last_name": "PICH",
"middle_name": "SOKHENG",
"prefix": "DR.",
"credential": "EDD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.