Organization Active NPI

Orange County Behavioral Sciences Inc.

  • Psychiatry Physician
  • Anaheim, CA
National Provider Identifier
1710179049
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ORANGE COUNTY BEHAVIORAL SCIENCES INC.
Practice address
645 S Beach Blvd
Anaheim, CA 92804-3102
Phone
(714) 816-7050
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Yun Suk Chong, M.D.NPI 1376586933
Title
Owner
Phone
(714) 319-1761

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X CA Primary

Addresses

Primary practice location

645 S Beach Blvd
Anaheim, CA 92804-3102

Mailing address

1439 W Chapman Ave
# 84
Orange, CA 92868-2738
Phone (714) 319-1761

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCA

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": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710179049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 W CHAPMAN AVE",
            "address_2": "# 84",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682738",
            "telephone_number": "714-319-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043102",
            "telephone_number": "714-816-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY BEHAVIORAL SCIENCES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "YUN",
        "authorized_official_middle_name": "SUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-319-1761",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.