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MICHELLE CHONG PSYD
NPI 1134538564
Psychologist - Clinical Child & Adolescent in San Bernardino, CA

Active since August 11, 2014PECOS Enrolled
2195 CLUB CENTER DR, SAN BERNARDINO, CA 92408(909) 558-2617 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Chong Psyd NPPES

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

MICHELLE CHONG PSYD (NPI 1134538564) is an individual clinical child & adolescent provider in San Bernardino, California, licensed in California (PSY30562) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134538564
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameMICHELLE CHONGCredential: PSYD
Location Address2195 CLUB CENTER DRSan Bernardino, CA 92408-4170
Mailing AddressFile Number 54701Los Angeles, CA 90074-4701
Phone(909) 558-2617
Sole ProprietorNo
Enumeration DateAugust 11, 2014
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1134538564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · PSY30562
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
2195 CLUB CENTER DR, San Bernardino, CA 92408
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Other Names 1

Former Name (1)Michelle Hong Psyd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Chong Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DANIELLE DOLORES NEWTON M.S. CCC-SLP
Speech-Language Pathologist
2195 CLUB CENTER DR, SUITE G
SAN BERNARDINO, CA 92408
San Bernardino County (925) 980-8374
MS. SUBHADRA RAMANATHAN M.S.
Genetic Counselor, MS
2195 CLUB CENTER DR, STE A
SAN BERNARDINO, CA 92408
San Bernardino County (909) 835-1870
BREANNA TRAN PADRON OD
Optometrist
2195 CLUB CENTER DR
SAN BERNARDINO, CA 92408
San Bernardino County (909) 582-1545
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Ophthalmology
2195 CLUB CENTER DR, SUITE A-L
SAN BERNARDINO, CA 92408
San Bernardino County (909) 558-2154

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 Michelle Chong's NPI number?

The NPI number for Michelle Chong is 1134538564. It was assigned to this individual provider in the NPPES registry on August 11, 2014. The provider is also known as Michelle Hong Psyd.

Where is Michelle Chong located?

Michelle Chong practices at 2195 Club Center Dr, San Bernardino, CA 92408. The listed phone number is (909) 558-2617.

What is Michelle Chong's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Michelle Chong enrolled in Medicare?

Yes. Michelle Chong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Chong was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.