Individual provider Active NPI

Daniel Chung, PSY.D.

  • Psychologist
  • Rancho Cucamonga, CA
National Provider Identifier
1578895348
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852
Phone
(909) 989-4055
NPI assigned
Feb 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852

Mailing address

8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852
Phone (201) 370-5668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 11, 2025 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 11, 2025 Accepting new patients

Locations

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

Interoperability endpoints

  • Direct secure messaging: daniel.chung.1@28621.direct.athenahealth.com
  • Direct secure messaging: dchung43048@epicdirect.rwjbh.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1578895348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 UTICA AVE STE 245",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303852",
            "telephone_number": "201-370-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 UTICA AVE STE 245",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303852",
            "telephone_number": "909-989-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DANIEL",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.