Individual provider Active NPI

Catherine Chan, PH.D.

  • Psychologist
  • Concord, CA
National Provider Identifier
1669723771
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1485 Civic CT Ste 1355
Concord, CA 94520-5279
Phone
(925) 822-3238
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

1485 Civic CT Ste 1355
Concord, CA 94520-5279

Mailing address

1485 Civic CT Ste 1355
Concord, CA 94520-5279
Phone (925) 822-3238

Other practice location 1

14840 Greenworth Dr
LA Mirada, CA 90638-3022
Phone (619) 252-0773

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)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine Chan, PH.D., Psychologist, Inc. Psychologist CurrentSince Jan 17, 2021 Accepting new patients

Locations

1485 Civic Ct
Ste 1355
Concord, CA 94520
Phone (925) 822-3238

Organizations & group practices 1

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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1669723771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 CIVIC CT STE 1355",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205279",
            "telephone_number": "925-822-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 CIVIC CT STE 1355",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205279",
            "telephone_number": "925-822-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14840 Greenworth Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906383022",
            "country_code": "US",
            "telephone_number": "619-252-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CATHERINE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.