DR. ALICE CHANG (NPI# 1811044373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811044373 |
| Entity Type | Individual |
| Full Name | DR. ALICE CHANG |
| Credential | M.D. |
| Practice Address |
1201 Chestnut St 2nd Floor Philadelphia PA 19107-4123 |
| Practice Telephone | 2155630663 |
| Practice Fax Number | 2155630664 |
| Mailing Telephone | 2155630663 |
| Mailing Fax Number | 2155630664 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD420531 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568737484 | Alice Chang | Family Medicine | 801 South Chevy Chase Dr., Suite 201, Glendale, CA 91205 | 2012-03-09 |
| 1326124918 | Alice F Chang | Psychologist | 6616 E Carondelet Dr, Tucson, AZ 85710-2119 | 2006-10-27 |
| 1396373635 | Alice Mary Chang | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-03-31 |
| 1124583794 | Alice Chang | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2019-02-07 |
| 1689058455 | Alice Chang | Registered Nurse | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2015-07-11 |
| 1740671023 | Alice Chang | Pharmacy Technician | 12197 Sunset Hills Rd, Reston, VA 20190 | 2015-02-09 |
| 1104052356 | Alice E Chang | Otolaryngology | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061-6904 | 2009-06-02 |
| 1578721536 | Alice Chang | Physical Therapist | 1359 Pine St, San Francisco, CA 94109-4807 | 2008-05-27 |
| 1174717110 | Alice Yoonju Chang | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-09-04 |
| 1962614495 | Alice Chun Feng Chang | Dentist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2007-05-04 |
| Street Address |
1201 CHESTNUT ST 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528120953 | Judith Morrissey | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2006-12-14 |
| 1790936599 | Edward Randall Faulkner | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2008-10-10 |
| 1760671275 | Eucharia Devarona Borden | Social Worker | 1201 Chestnut St, Floor 2, Philadelphia, PA 19107-4123 | 2007-10-20 |
| 1992901169 | Carly Joanna Schulman | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-06-25 |
| 1699812669 | Joseph F. Dubak | Counselor | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-31 |
| 1962557413 | Liza Linder | Counselor | 1201 Chestnut St, Philadelphia, PA 19107-4123 | 2007-01-24 |
| 1790839595 | Lee Fulton Carson | Counselor | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-22 |
| 1225188428 | Mazzoni Center | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-11 |
| 1649332966 | Cherie Older | Social Worker | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 |
|---|---|---|---|---|
| 1902440621 | Eastern Pennsylvania Physician Alliance LLC | Psychiatry & Neurology | 4641 E Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2019-11-06 |
| 1982083366 | Jaclyn Chua | Psychiatry & Neurology | 3440 Market St Ste 200, Philadelphia, PA 19104-3336 | 2015-05-19 |
| 1295175602 | Grace Unsal | Psychiatry & Neurology | Belmont Behavioral Hospital, LLC, 4200 Monument Road, Philadelphia, PA 19131 | 2013-06-29 |
| 1437463783 | Gordon R. Hodas | Psychiatry & Neurology | 8104 Germantown Ave, Philadelphia, PA 19118-3423 | 2010-07-28 |
| 1063731388 | Marc A. Forman | Psychiatry & Neurology | 233 S. 6th St, Philadelphia, PA 19106-3756 | 2010-05-26 |
| 1578723839 | Thomas Jefferson University Psych | Psychiatry & Neurology | 833 Chestnut St Ste 630, Philadelphia, PA 19107-4416 | 2008-06-11 |
| 1346464880 | Manely Ghaffari | Psychiatry & Neurology | 129 N 4th St, Office 1f, Philadelphia, PA 19106-1817 | 2007-04-13 |
| 1700954922 | Neurology Associates Ltd | Psychiatry & Neurology | 1514 Wolf St, Philadelphia, PA 19145-4441 | 2006-12-04 |
| 1912088667 | Linda Diane Gordon | Psychiatry & Neurology | 801 Market Street, Community Behavioral Health, 7th Floor, Philadelphia, PA 19107 | 2006-10-18 |
| 1821182726 | Katie L. Hoeveler | Psychiatry & Neurology | 3440 Market Street, 4th Floor, The Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-10-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on DR. ALICE 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.