Active NPI
Debra Cha, PH.D.
- Psychologist
- San Diego, CA
National Provider Identifier
1881029247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 25684
- Practice address
- 9666 Businesspark Ave
Suite 201
San Diego, CA 92131-1646 - Phone
- (858) 357-5818
- NPI assigned
- Sep 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY 25684 | CA | |
| Psychologist | 103T00000X | PSY 25684 | CA | Primary |
Addresses
Primary practice location
9666 Businesspark Ave
Suite 201
San Diego, CA 92131-1646
Mailing address
9666 Businesspark Ave Ste 201
San Diego, CA 92131-1646
Phone (858) 357-5818
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 25684 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1881029247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9666 BUSINESSPARK AVE STE 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311646",
"telephone_number": "858-357-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9666 BUSINESSPARK AVE",
"address_2": "SUITE 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311646",
"telephone_number": "858-357-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHA",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY 25684",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 25684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.