MS. ANDREA KWUN NING CHAN PSYD
NPI 1104375062
Psychologist in San Francisco, CA

Active since October 03, 2016PECOS EnrolledAccepts Medicare Assignment
3626 BALBOA STREET, SAN FRANCISCO, CA 94121(415) 668-5955(415) 668-0246 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2019, Jan 8, 2018 (2 updates tracked since 2018).

About Ms. Andrea Kwun Ning Chan Psyd NPPES

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

MS. ANDREA KWUN NING CHAN PSYD (NPI 1104375062) is an individual psychologist in San Francisco, California, licensed in California (30838) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104375062
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. ANDREA KWUN NING CHANCredential: PSYD
Location Address3626 BALBOA STREETSan Francisco, CA 94121
Mailing Address3626 Balboa StreetSan Francisco, CA 94121 · (415) 668-5955 · Fax (415) 668-0246
Fax(415) 668-0246
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 3, 2016
Last NPPES UpdateMarch 22, 20192 updates tracked since enumeration
NPI 1104375062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 30838
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.
3626 BALBOA STREET, San Francisco, CA 94121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Andrea Kwun Ning Chan Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678901378
PECOS Enrollment IDI20200311001962
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.

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
3626 BALBOA STREET
SAN FRANCISCO, CA 94121
Student in an Organized Health Care Education/Training Program
3626 BALBOA STREET
SAN FRANCISCO, CA 94121
Counselor
3626 BALBOA STREET, RICHMOND AREA MULTISERVICES
SAN FRANCISCO, CA 94121
Student in an Organized Health Care Education/Training Program
3626 BALBOA STREET
SAN FRANCISCO, CA 94121

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 Andrea Chan's NPI number?

The NPI number for Andrea Chan is 1104375062. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Where is Andrea Chan located?

Andrea Chan practices at 3626 Balboa Street, San Francisco, CA 94121. The listed phone number is (415) 668-5955.

What is Andrea Chan's specialty?

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

Is Andrea Chan enrolled in Medicare?

Yes. Andrea Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrea Chan was last updated on March 22, 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.