DR. IRENE CHANG (NPI# 1174082796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174082796 |
| Entity Type | Individual |
| Full Name | DR. IRENE CHANG |
| Credential | LEP |
| Practice Address |
10879 Bartlett Dr Grass Valley CA 95945-8730 |
| Practice Telephone | 7076364771 |
| Mailing Telephone | 5302738455 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
3696 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528335254 | Irene Chang | Dentist | Psc 561 Box 343, Fpo, AP 96310-0004 | 2011-11-23 |
| 1326273343 | Irene C. Chang | Dentist | 151 S El Molino Ave Ste 300, Pasadena, CA 91101-2562 | 2009-05-19 |
| 1649450099 | Irene L Chang | Pathology | 929 N Saint Francis, Wichita, KS 67214-3821 | 2007-11-13 |
| 1174150197 | Irene Chang | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-27 |
| 1225662026 | Irene Dan Yi Chang | Student in an Organized Health Care Education/Training Program | 2239 N School St, Honolulu, HI 96819-2539 | 2020-03-02 |
| 1144717042 | Irene Chang | Behavioral Analyst | 13950 Milton Ave Ste 200b, Westminster, CA 92683-2939 | 2018-04-16 |
| 1033539671 | Irene Joan Chang | Medical Genetics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-22 |
| 1790756799 | Irene S Chang | Pediatrics | 765 Medical Center Ct, Suite 210, Chula Vista, CA 91911-6600 | 2006-01-28 |
| Street Address |
10879 BARTLETT DR |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-8730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497912 | Danielle Perry | Psychologist | 10879 Bartlett Dr, Grass Valley, CA 95945-8730 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447733209 | Victoria Frances Stanton | Psychologist | 11130 Magnolia Rd, Grass Valley, CA 95949-8366 | 2018-09-07 |
| 1790265494 | Jaclyn Sayklay | Psychologist | 11645 Ridge Rd # C-24, Grass Valley, CA 95945-5024 | 2018-08-21 |
| 1215497912 | Danielle Perry | Psychologist | 10879 Bartlett Dr, Grass Valley, CA 95945-8730 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800610 | Christine Irene Wyeth I | Psychologist | 420 Orrell Dr, National City, CA 91950-7019 | 2020-10-30 |
| 1396351755 | Darinisha Williams | Psychologist | 228 W Pomona Ave Unit 453, Monrovia, CA 91016-4853 | 2020-09-21 |
| 1861006280 | Waneka Cabrera | Psychologist | 6140 Monterey Rd Apt 419, Los Angeles, CA 90042-5410 | 2020-09-02 |
| 1447862669 | Lynn Syrvart Saroyan | Psychologist | 302 W 5th St Ste 301, San Pedro, CA 90731-2750 | 2020-08-19 |
| 1386256741 | Earaj Afzal | Psychologist | 4175 Williwaw Dr, Irvine, CA 92620-3279 | 2020-08-18 |
| 1518578145 | Christina Marie Keefe | Psychologist | 222 Terrace Dr, Big Pine, CA 93513-2002 | 2020-08-17 |
| 1992317572 | Ferris Kevin Bruton | Psychologist | 850 Rosewood Ave, Vallejo, CA 94591-5647 | 2020-08-17 |
| 1376153460 | Louis Scott Addleson | Psychologist | 7915 Alida St, La Mesa, CA 91942-2541 | 2020-08-04 |
| 1326658592 | Aamna Hassan | Psychologist | 15132 Amso St, Poway, CA 92064-2604 | 2020-08-03 |
| 1922616218 | Janis Kingsley | Psychologist | 2746 Granville Ave, Los Angeles, CA 90064-3604 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
Please comment or provide details below to improve the information on DR. IRENE CHANG.
| 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.