Active NPI
Yuchuan Chen
- Clinical Psychologist
- San Luis Obispo, CA
National Provider Identifier
1487016325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30577
- Practice address
- Colony Dr
San Luis Obispo, CA 93409-5100 - Phone
- (805) 457-7900
- NPI assigned
- Mar 21, 2016
- 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 | 30577 | CA | Primary |
Addresses
Primary practice location
Colony Dr
San Luis Obispo, CA 93409-5100
Mailing address
Colony Dr
San Luis Obispo, CA 93409-0001
Phone (805) 547-7900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30577 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1487016325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLONY DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934090001",
"telephone_number": "805-547-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COLONY DR",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934095100",
"telephone_number": "805-457-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "YUCHUAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-21",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.