Individual provider Active NPI

Olivia Shun Chiang, PSYD

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1811910177
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016540 Issued in NY
Practice address
6150 Metrowest Blvd Ste 105
Orlando, FL 32835-3290
Phone
(321) 842-6671
Fax
(321) 843-6447
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016540 NY Primary

Addresses

Primary practice location

6150 Metrowest Blvd Ste 105
Orlando, FL 32835-3290

Mailing address

6150 Metrowest Blvd Ste 105
Orlando, FL 32835-3290
Phone (321) 842-6671

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-2575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ochiang58026@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070131000426 NY Practitioner - Clinical Psychologist 2264433457 Reassigns benefits to 5 organizations
I20211208001824 FL Practitioner - Clinical Psychologist 2264433457 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dennis MD PLLC Clinical CurrentSince May 18, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Aug 10, 2021 Accepting new patients
Rochester General Hospital CurrentSince Mar 9, 2019 Accepting new patients
Che Behavioral Health Services of Florida, P.a. Clinical CurrentSince Nov 1, 2021 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Aug 11, 2021 Accepting new patients
Rochester General Hospital CurrentSince Mar 9, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Mar 9, 2019 Accepting new patients

Locations

6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

6150 Metrowest Blvd
Ste 105
Orlando, FL 32835
Phone (407) 293-2150

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

510 Clinton Sq
Rochester, NY 14604
Phone (561) 208-1970

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 9

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1811910177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353290",
            "telephone_number": "321-842-6671",
            "fax_number": "321-843-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353290",
            "telephone_number": "321-842-6671",
            "fax_number": "321-843-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213001",
            "country_code": "US",
            "telephone_number": "585-922-2575",
            "fax_number": "585-922-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "OLIVIA",
        "middle_name": "SHUN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ochiang58026@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 Portland Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.