Individual provider Active NPI

Susan CHI, PHD

  • Psychologist
  • Pasadena, CA
National Provider Identifier
1548912942
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY33145 Issued in CA
Practice address
595 E Colorado Blvd Ste 403
Pasadena, CA 91101-2018
Phone
(626) 775-7121
NPI assigned
Jan 26, 2022
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY33145 CA Primary
Psychologist 103T00000X 025715 NY

Addresses

Primary practice location

595 E Colorado Blvd Ste 403
Pasadena, CA 91101-2018

Mailing address

595 E Colorado Blvd Ste 403
Pasadena, CA 91101-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20220224002790 CA Practitioner - Clinical Psychologist 9436543055 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY33145CAMDPsychologist
025715NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Scott Psychologist Corp CurrentSince Jan 28, 2022 Accepting new patients
Susan CHI Psychology PC Psychologist CurrentSince Feb 11, 2024 Accepting new patients

Locations

4605 Lankershim Blvd
Ste 545
North Hollywood, CA 91602
Phone (323) 999-1395

595 E Colorado Blvd
Ste 403
Pasadena, CA 91101
Phone (626) 341-0900

7720 Painter Ave
Ste C
Whittier, CA 90602
Phone (323) 999-1395

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1548912942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 403",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 403",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012018",
            "telephone_number": "626-775-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "SUSAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY33145",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.