DR. JASON VICTOR CHANG (NPI# 1124284708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124284708 |
| Entity Type | Individual |
| Full Name | DR. JASON VICTOR CHANG |
| Credential | M.D. |
| Practice Address |
1701 E Woodfield Road Suite 1000 Schaumburg IL 60173-5113 |
| Practice Telephone | 8472402211 |
| Practice Fax Number | 8472402418 |
| Mailing Telephone | 8472402211 |
| Mailing Fax Number | 8472402418 |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
125-054734 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036-127321 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS GROUP NUMBER | 1633897 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4 Doctors Park, Gibson City, IL 609362000 | 2177844540 | |
| 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 601735113 | 8472402211 | 8472402418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457252 | Jason Chang | Behavior Technician | 3 Boothby Cir, Randolph, MA 02368-5312 | 2020-11-06 |
| 1194986711 | Jason Wayne Chang | Dentist | 701 Shedeck Pkwy, Yukon, OK 73099-6021 | 2008-06-17 |
| 1144313297 | Jason H Chang | Dentist | 1101 Avenue D, C104, Snohomish, WA 98290-2083 | 2006-10-02 |
| 1457811853 | Jason Yu-shen Chang | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2019-03-21 |
| 1326507641 | Jason Lin Chang | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2019-03-16 |
| 1780190066 | Jason Chang | Nurse Practitioner | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2017-12-21 |
| 1578822441 | Jason Chang | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2012-05-11 |
| 1538472196 | Jason C Chang | Pathology | 1275 York Ave Dept Of, New York, NY 10065 | 2010-07-23 |
| 1215198056 | Jason Jinwoo Chang | Psychiatry & Neurology | 110 Irving St Nw, Suite 4b42, Washington, DC 20010-3017 | 2008-06-24 |
| 1457534687 | Jason Sungkwon Chang | Emergency Medicine | 3600 Forbes Ave, Forbes Tower On Meyran Ave, Suite 10028, Pittsburgh, PA 15213-3410 | 2007-12-11 |
| Street Address |
1701 E WOODFIELD ROAD SUITE 1000 |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60173-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447273933 | Kelly E. Johnson | Psychiatry & Neurology | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2006-07-25 |
| 1184084139 | Mitchell Ryan Powers | Counselor | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2016-03-03 |
| 1770954646 | Erika Gray | Psychologist | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2015-10-16 |
| 1063899722 | Erin Conway | Clinical Neuropsychologist | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2015-05-01 |
| 1316377252 | Jennifer Lang | Counselor | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2013-11-13 |
| 1639510555 | Sultan S Oner | Psychologist | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2013-07-08 |
| 1003253246 | Smile Pro Studio | Dentist | 1701 E Woodfield Road, Suite 510, Schaumburg, IL 60173 | 2013-05-29 |
| 1265781199 | Lindsay Katherine Tobin | Counselor | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2012-09-06 |
| 1760754766 | Michael J Camara | Psychologist | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2012-02-07 |
| 1942581376 | Shane Andrew Westerberg | Counselor | 1701 E Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800600 | Daniella M Raimondi | Counselor | 1305 Remington Rd Suite U, Schaumburg, IL 60173 | 2020-01-07 |
| 1821562588 | Pathways Counseling P C. | Psychologist | 937 N. Plum Grove Rd., Suite D, Schaumburg, IL 60173 | 2019-01-16 |
| 1346741931 | Rebecca E Montgomery, D.d.s., P.C. | Dentist | 1501 E. Woodfield Rd., Suite 100e, Schaumburg, IL 60173 | 2018-02-28 |
| 1508364431 | Joseph Mazzei Sc | Clinic/Center | 1827 Walden Office Sq Ste 250, Schaumburg, IL 60173 | 2018-01-25 |
| 1093234098 | Bridgette Koukos | Counselor | Fair Counseling, 2010 E Algonquin Rd, Suite 206, Schaumburg, IL 60173 | 2017-09-12 |
| 1467970095 | Julie Sweeney | Social Worker | 650 E. Algonquin Rd. Suite 108, Schaumburg, IL 60173 | 2017-09-04 |
| 1952781189 | Riismaa Psychological Services, Inc. | Psychologist | 1325 Remington Road, Suite R, Schaumburg, IL 60173 | 2015-06-03 |
| 1306239736 | Lana Batinic | Counselor | 1305 Remington Rd Ste U, Schaumburg, IL 60173 | 2015-03-10 |
| 1265824734 | Elgin Medical Pain Management | Anesthesiology | 1037 E Woodfield Rd., Schaumburg, IL 60173 | 2015-02-20 |
| 1891127395 | Kristen Lee Nicholls | Nurse Practitioner | 943 N. Plum Grove Road, Suite B, Schaumburg, IL 60173 | 2013-08-07 |
| Find all providers in zip 60173 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245540335 | Donna M Woods Md S C | Psychiatry & Neurology | 1701 E. Woodfield Road, Suite 1000, Schaumburg, IL 60173-5113 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| Find all providers with the same taxonomy | ||||
| City | SCHAUMBURG |
| Zip Code | 60173 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.