Active NPI
Alison Yusun Ahn
- Clinical Psychologist
- Orange, CA
National Provider Identifier
1902463755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY33552
- Practice address
- 301 The City Drive South
Mob 44, 2ND Floor
Orange, CA 92868 - Phone
- (714) 796-0324
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY33552 | CA | Primary |
Addresses
Primary practice location
301 The City Drive South
Mob 44, 2ND Floor
Orange, CA 92868
Mailing address
121 Santa Louisa
Irvine, CA 92606-8853
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33552 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902463755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SANTA LOUISA",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 THE CITY DRIVE SOUTH",
"address_2": "MOB 44, 2ND FLOOR",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-796-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "ALISON",
"middle_name": "YUSUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY33552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.