Individual provider Active NPI

Yuan-Heng Eddy Chen, PSYD

  • Clinical Psychologist
  • Pomona, CA
National Provider Identifier
1649588070
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28176 Issued in CA
Practice address
801 Corporate Center Dr
Pomona, CA 91768-2628
Phone
(626) 872-3613
NPI assigned
Sep 20, 2010
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY28176 CA Primary

Addresses

Primary practice location

801 Corporate Center Dr
Pomona, CA 91768-2628

Mailing address

801 Corporate Center Dr
Pomona, CA 91768-2628
Phone (626) 872-3613

Other practice location 1

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006-2361
Phone (626) 701-4249

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY28176CAMDClinical Psychologist
28176CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1649588070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CORPORATE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682628",
            "telephone_number": "626-872-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CORPORATE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682628",
            "telephone_number": "626-872-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 E FOOTHILL BLVD",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062361",
            "country_code": "US",
            "telephone_number": "626-701-4249",
            "fax_number": "626-737-6034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YUAN-HENG",
        "middle_name": "EDDY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.