DR. JEANNIE WON CHANG PSY.D.
NPI 1104055029
Psychologist in San Francisco, CA

Active since July 13, 2009PECOS Enrolled
555 POLK ST, SAN FRANCISCO, CA 94102(415) 292-2565 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeannie Won Chang Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEANNIE WON CHANG PSY.D. (NPI 1104055029) is an individual psychologist in San Francisco, California, licensed in California (PSY27785) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104055029
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEANNIE WON CHANGCredential: PSY.D.
Location Address555 POLK STSan Francisco, CA 94102-3333
Mailing Address555 Polk StSan Francisco, CA 94102-3333 · (415) 292-2565
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 13, 2009
Last NPPES UpdateMarch 26, 2019
NPI 1104055029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY27785
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
555 POLK ST, San Francisco, CA 94102

Secondary Practice Location 1

Location 1375 Woodside Ave # W3San Francisco, CA 94127-1221 · Phone (415) 753-7810

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jeannie Won Chang Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466821608
PECOS Enrollment IDI20221212000842
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
100 services20 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
20 services20 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
555 POLK ST
SAN FRANCISCO, CA 94102
Day Training/Habilitation Specialist
555 POLK ST
SAN FRANCISCO, CA 94102
Social Worker (Clinical)
555 POLK ST
SAN FRANCISCO, CA 94102
Technician, Other
555 POLK ST
SAN FRANCISCO, CA 94102
Counselor (Addiction (Substance Use Disorder))
555 POLK ST
SAN FRANCISCO, CA 94102
Community Health Worker
555 POLK ST
SAN FRANCISCO, CA 94102
Social Worker
555 POLK ST
SAN FRANCISCO, CA 94102
Day Training/Habilitation Specialist
555 POLK ST
SAN FRANCISCO, CA 94102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannie Chang's NPI number?

The NPI number for Jeannie Chang is 1104055029. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Jeannie Chang located?

Jeannie Chang practices at 555 Polk St, San Francisco, CA 94102. The listed phone number is (415) 292-2565.

What is Jeannie Chang's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeannie Chang enrolled in Medicare?

Yes. Jeannie Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeannie Chang was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.