Organization Active NPI

Karyn Jones-Chudasama,Ma,LMFT

  • Adult Mental Health Clinic/Center
  • Upland, CA
National Provider Identifier
1811238199
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MFC 52193 Issued in CA
Legal business name
KARYN JONES-CHUDASAMA,MA,LMFT
Practice address
225 N Euclid Ave
Upland, CA 91786-6038
Phone
(909) 660-3020
Fax
(909) 981-9511
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Karyn Michelle Jones-Chudasama, LMFT
Title
Psychotherapist/Owner
Phone
(909) 660-3020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MFC 52193 CA
Adult Mental Health Clinic/Center 261QM0850X MFC 52193 CA Primary

Addresses

Primary practice location

225 N Euclid Ave
Upland, CA 91786-6038

Mailing address

225 N Euclid Ave
Upland, CA 91786-6038
Phone (909) 660-3020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1811238199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866038",
            "telephone_number": "909-660-3020",
            "fax_number": "909-981-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866038",
            "telephone_number": "909-660-3020",
            "fax_number": "909-981-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARYN JONES-CHUDASAMA,MA,LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "JONES-CHUDASAMA",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "909-660-3020",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "MFC 52193",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "MFC 52193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.