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EVANGELINA CHAN MSW,LCSW
NPI 1245576248
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bridgeport, CT

Active since December 19, 2012PECOS Enrolled
46 ALBION ST, BRIDGEPORT, CT 06605(203) 330-6000(203) 330-6008 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evangelina Chan Msw,lcsw NPPES

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

EVANGELINA CHAN MSW,LCSW (NPI 1245576248) is an individual child & adolescent psychiatry provider in Bridgeport, Connecticut, licensed in New York (081696-1) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245576248
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameEVANGELINA CHANCredential: MSW,LCSW
Location Address46 ALBION STBridgeport, CT 06605-2602
Mailing Address4 W 125th St, Fl 2New York, NY 10027-4575 · (212) 942-5615 · Fax (212) 682-2613
Phone(203) 330-6000
Fax(203) 330-6008
Sole ProprietorNo
Enumeration DateDecember 19, 2012
Last NPPES UpdateMarch 15, 2018
✔ NPI 1245576248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 081696-1
Definition
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.
46 ALBION ST, Bridgeport, CT 06605
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Other Names 1

Former Name (1)Evangelina Ng Msw,lcsw

Other Identifiers 2

Other008301CT · License
Medicaid004236148CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evangelina Chan Msw,lcsw 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 20

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

KENDRA N DASCANO LPC-A
Counselor
46 ALBION ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
DR. SAMANTHA MRAZ DNP
Nurse Practitioner (Psychiatric/Mental Health)
46 ALBION ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 332-3584
MARLENE CUEVAS
Nurse Practitioner (Psychiatric/Mental Health)
46 ALBION ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (845) 664-3367
CLAUDE LOUIS
Counselor (Professional)
46 ALBION ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 644-4422
MRS. CLAUDIA PREISICK LPC
Counselor (Professional)
46 ALBION ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
DANA BRUNELL EISENBERG
Nurse Practitioner (Pediatrics)
46 ALBION ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
DR. STEVE SHAH MD
Family Medicine
46 ALBION ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
BRITTNEY MARIE CIFARELLI DNP
Nurse Practitioner (Pediatrics)
46 ALBION ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000

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 Evangelina Chan's NPI number?

The NPI number for Evangelina Chan is 1245576248. It was assigned to this individual provider in the NPPES registry on December 19, 2012. The provider is also known as Evangelina Ng Msw,lcsw.

Where is Evangelina Chan located?

Evangelina Chan practices at 46 Albion St, Bridgeport, CT 06605. The listed phone number is (203) 330-6000.

What is Evangelina Chan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Evangelina Chan enrolled in Medicare?

Yes. Evangelina Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evangelina Chan was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.