Organization Active NPI

G.I.F.T. Inc.

  • Clinical Psychologist
  • Fullerton, CA
National Provider Identifier
1609342500
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
G.I.F.T. INC.
Practice address
156 Soco Dr
Fullerton, CA 92832-2474
Phone
(714) 522-4438
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Lydia Chun, PSY. DNPI 1417259524
Title
Owner/ Clinical Psychologist
Phone
(714) 522-4438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

156 Soco Dr
Fullerton, CA 92832-2474

Mailing address

156 Soco Dr
Fullerton, CA 92832-2474

Other names 2

  • GIFT Counseling & Wellness Center Doing business as
  • GIFT Professional Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190326003009 CA Part B Supplier - Clinic/Group Practice 4486906385 Receives reassigned benefits from 1 practitioner
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1609342500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 SOCO DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 SOCO DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322474",
            "telephone_number": "714-522-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.I.F.T. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER/ CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-522-4438",
        "authorized_official_credential": "PSY. D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIFT Counseling & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GIFT Professional Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.