Individual provider Active NPI

Ian Phillip Chand, PH.D.

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1982934345
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC21263 Issued in CA
Practice address
1881 Commercenter E Ste 232
San Bernardino, CA 92408-3479
Phone
(909) 890-0525
Fax
(909) 890-4278
NPI assigned
Jan 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC21263 CA Primary

Addresses

Primary practice location

1881 Commercenter E Ste 232
San Bernardino, CA 92408-3479

Mailing address

1881 Commercenter E Ste 232
San Bernardino, CA 92408-3479
Phone (909) 890-0525

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

LicenseStateTypeSpecialty
MFC21263CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Counselors Incorporated Marriage & Family Therapist PastSince Jul 25, 2019 Accepting new patients
Care Marriage and Family Therapists, Inc. Marriage & Family Therapist PastSince Oct 13, 2019 Accepting new patients

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": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1982934345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E STE 232",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083479",
            "telephone_number": "909-890-0525",
            "fax_number": "909-890-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E STE 232",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083479",
            "telephone_number": "909-890-0525",
            "fax_number": "909-890-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAND",
        "first_name": "IAN",
        "middle_name": "PHILLIP",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC21263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.