Active NPI
Yuichung Chan
- Psychologist
- Muncie, IN
National Provider Identifier
1992188650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042788A
- Practice address
- 1806 W Royale Dr
Muncie, IN 47304-2243 - Phone
- (765) 381-4578
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20042788A | IN | Primary |
Addresses
Primary practice location
1806 W Royale Dr
Muncie, IN 47304-2243
Mailing address
11601 Chelsea CT
Fishers, IN 46038-1508
Phone (317) 567-9933
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042788A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1992188650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 CHELSEA CT",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381508",
"telephone_number": "317-567-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042243",
"telephone_number": "765-381-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "YUICHUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042788A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.