Ashley Marie Chin, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 9242 Issued in FL

Practice address

1709 NW 23Rd St
Gainesville, FL 32605-3825

Phone

(561) 708-0208

Fax

(888) 965-1386

NPI assigned

Jan 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ashley Marie Chin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Meier Clinics Foundation

  • Psychologist
  • West Palm Beach, FL
  • NPI 1801265384
  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1487044574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 NW 23RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053825",
            "telephone_number": "561-708-0208",
            "fax_number": "888-965-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 NW 23RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053825",
            "telephone_number": "561-708-0208",
            "fax_number": "888-965-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "CHIN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kala Childress
• Lindsey Childs-Kean, PHARMD
• Harvey W Chim, M.D.
• Naomi Faye Chin-Stewart
• April Rosemarie Chin, APRN
• Tyler Chin
• Jessica Allen Ching, MD
• Payam Chini, MD
• Sai Pavan Kumar Chintalapati, MD
• Andrea Carolina Chira Sucre

• Clinical Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.