Active NPI
G.I.F.T. Inc.
- Clinical Psychologist
- Fullerton, CA
National Provider Identifier
1609342500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lydia Chun, PSY. D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
- GIFT Professional Counseling Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Buena Park, CA
- NPI 1417259524
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.