Individual provider Active NPI

Shou-an Ariel Chang, PH.D.

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1861134488
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0006654 Issued in CO
Practice address
1537 Alton St
Aurora, CO 80010-1712
Phone
(303) 923-6886
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 PSY.0006654 CO Primary

Addresses

Primary practice location

1537 Alton St
Aurora, CO 80010-1712

Mailing address

1290 Chambers Rd
Aurora, CO 80011-7117
Phone (303) 617-2300

Other practice location 1

1504 Galena St
Aurora, CO 80010-2219
Phone (303) 617-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250224001874 CO Practitioner - Clinical Psychologist 2769902535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Yale University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1537 Alton St
Aurora, CO 80010-1712
Phone (303) 617-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY.0006654COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Jan 23, 2025 Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Jan 23, 2025 Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc Current Accepting new patients
Aurora Comprehensive Community Mental Health Center Past Accepting new patients

Locations

1537 Alton St
Aurora, CO 80010
Phone (303) 923-2920

1290 Chambers Rd
Aurora, CO 80011
Phone (303) 617-2715

14301 E Hampden Ave
Aurora, CO 80014
Phone (303) 617-2600

791 Chambers Rd
Fl 5
Aurora, CO 80011

1504 Galena St
Aurora, CO 80010
Phone (303) 617-2498

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1861134488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117117",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 ALTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101712",
            "telephone_number": "303-923-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Galena St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800102219",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SHOU-AN",
        "middle_name": "ARIEL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.