Alexander Chang, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY70063749 Issued in WA

Practice address

4744 41St Ave SW Ste 101
Seattle, WA 98116-4566

Phone

(206) 320-5780

Fax

(206) 320-5794

NPI assigned

Aug 10, 2018

Reactivated

Sep 5, 2023

Last updated

Apr 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Swedish Health Services

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1831139724
  Medicare reassignment
• Swedish Health Services

  dba One Medical

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1073553947
  NPD
• Swedish Health Services

  • Physical Therapist
  • Seattle, WA
  • NPI 1619680840
  NPD
• County of Kern

  dba Kern Behavioral Health and Recovery Services

  • Adolescent and Children Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1174057772
  NPD (past)

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1902385891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 41ST AVE SW STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164566",
            "telephone_number": "206-320-5780",
            "fax_number": "206-320-5794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Minor Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012402",
            "country_code": "US",
            "telephone_number": "206-320-2961",
            "fax_number": "206-710-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ALEXANDER",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "deactivation_date": "2023-04-10",
        "reactivation_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY70063749",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY70063749",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2376519",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandrashekhar PLLC (Advanced TMJ Maxillofacial Pain & Sleep)
• Hemamalini Chandrashekhar, DDS, MDS, MDSC
• Maya Ragini Chandru, MD, PHD
• Allyson Chang-Flores, LMT
• Alan Lee Chang
• Alice May Chang, M.D.
• Amy Chingfang Chang, DMD
• Andrew T Chang, M.D.
• Anna-Carmina Francisco Chang
• Bonny Chang, PH.D.

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.