Active NPI
Diana Ochoa Chu, M.D.
- Child & Adolescent Psychiatry Physician
- Onamia, MN
National Provider Identifier
1780777615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 64332
- Practice address
- 407 130TH Ave S
Onamia, MN 56359 - Phone
- (320) 532-4005
- Fax
- (320) 532-4898
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 64332 | MN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036082923 | IL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 205-320 | WI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | PT15402 | MN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 64332 | MN | Primary |
Addresses
Primary practice location
407 130TH Ave S
Onamia, MN 56359
Mailing address
808 S Michigan Ave Apt 5201
Chicago, IL 60605-2660
Phone (312) 402-9796
Other practice location 1
333 N Michigan Ave Ste 1900
Chicago, IL 60601-3994
Phone (312) 757-6057
Other practice location 2
1111 28th St NE
Austin, MN 55912
Phone (507) 434-4368
Other practice location 3
1111 28th St NE
Austin, MN 55912
Phone (507) 434-4368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082923 | Medicaid | IL |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64332 | MN | MD | Psychiatry Physician |
| 036082923 | IL | MD | Child & Adolescent Psychiatry Physician |
| PT15402 | MN | MD | Child & Adolescent Psychiatry Physician |
| 205-320 | WI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Nexus | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Onamia, MN
- NPI 1457802852
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1780777615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S MICHIGAN AVE APT 5201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052660",
"telephone_number": "312-402-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 130TH AVE S",
"city": "ONAMIA",
"state": "MN",
"postal_code": "56359",
"telephone_number": "320-532-4005",
"fax_number": "320-532-4898"
}
],
"practiceLocations": [
{
"address_1": "333 N Michigan Ave Ste 1900",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606013994",
"country_code": "US",
"telephone_number": "312-757-6057",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 28th St NE",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "MN",
"postal_code": "55912",
"country_code": "US",
"telephone_number": "507-434-4368",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 28th St NE",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "MN",
"postal_code": "55912",
"country_code": "US",
"telephone_number": "507-434-4368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHU",
"first_name": "DIANA",
"middle_name": "OCHOA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "64332",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036082923",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WI",
"license": "205-320",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "PT15402",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "64332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036082923",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Onamia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.