Averlly Mae Chan

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1300 Ethan Way Ste 200
Sacramento, CA 95825-2277

Phone

(888) 744-2872

NPI assigned

Mar 27, 2025

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aura Behavioral Health

  • Behavior Analyst
  • Sacramento, CA
  • NPI 1629619705

  Community/Behavioral Health

  NPD

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1538962592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252277",
            "telephone_number": "888-744-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252277",
            "telephone_number": "888-744-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "AVERLLY",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert D. Chan, M.D.
• Alex Chan
• Alice Chan, D.D.S.
• Alison Christie Chan
• Andrew Chan, MB
• Caroline Nai Man Chan
• Cathy Chan, DDS
• Chenda Chan, MA
• Christopher T Chan, DDS
• Connie Chan

• Community/Behavioral Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.