Individual provider Active NPI

Adrian Chiu, PH.D.

  • Psychologist
  • Ambler, PA
National Provider Identifier
1881090751
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017709 Issued in PA
Practice address
300 Brookside Ave BLDG 4 Ste 125
Ambler, PA 19002-3436
Phone
(267) 702-4862
Fax
(267) 722-4362
NPI assigned
Nov 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017709 PA
Psychologist 103T00000X PS017709 PA Primary

Addresses

Primary practice location

300 Brookside Ave BLDG 4 Ste 125
Ambler, PA 19002-3436

Mailing address

300 Brookside Ave BLDG 4 Ste 125
Ambler, PA 19002-3436
Phone (267) 702-4862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160711000889 PA Practitioner - Clinical Psychologist 1951693019 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Simplex Health CurrentSince Dec 1, 2023 Accepting new patients
Adrian Chiu, PH.D., PLLC Psychologist CurrentSince May 31, 2016 Accepting new patients

Locations

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

333 E City Ave
Ste 300
Bala Cynwyd, PA 19004
Phone (610) 660-7739

123 S Broad St
Ste 1948
Philadelphia, PA 19109
Phone (267) 702-4862

1420 Walnut St
Ste 1010
Philadelphia, PA 19102
Phone (215) 280-0701

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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1881090751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE BLDG 4 STE 125",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "267-702-4862",
            "fax_number": "267-722-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE BLDG 4 STE 125",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "267-702-4862",
            "fax_number": "267-722-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "ADRIAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017709",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.