Nissa Chantana, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18676 Issued in CA

Practice address

2230 W Chapman Ave Ste 232
Orange, CA 92868-2316

Phone

(714) 910-8077

NPI assigned

Jun 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1740718766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19082 FOWLER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051219",
            "telephone_number": "714-910-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE STE 232",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682316",
            "telephone_number": "714-910-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANTANA",
        "first_name": "NISSA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Chang
• Vivian Chang
• Wayne Chang, MD
• Yongen Chang, MD, PHD
• Karen Chanin
• Annie Hsiao Chao, PHARM.D.
• Brandon Kuong Chao, MD
• Elizabeth C Chao, MD
• Jeffrey Chunya Chao, MD
• Timothy Chao

• Clinical Psychologist in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.