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DR. SU YING SHARON TAN PSY.D.
NPI 1376677096
Psychologist - Clinical in Brea, CA

Active since March 15, 2007PECOS Enrolled
544 S BREA BLVD, BREA, CA 92821(877) 277-2725 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Su Ying Sharon Tan Psy.d. NPPES

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

DR. SU YING SHARON TAN PSY.D. (NPI 1376677096) is an individual clinical provider in Brea, California, licensed in California (PSY22612) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376677096
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SU YING SHARON TANCredential: PSY.D.
Location Address544 S BREA BLVDBrea, CA 92821-5304
Mailing Address2396 Branch LnBrea, CA 92821-4601 · (877) 277-2725
Phone(877) 277-2725
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1376677096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY22612
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
544 S BREA BLVD, Brea, CA 92821
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Su Ying Sharon Tan Psy.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Su Ying Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quest Health Management Psychological Corporation
12 mi
Community/Behavioral Health
4110 EDISON AVE STE 206A
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 52 clinicians in this Medicare group
NPI 1245791490 (951) 454-5577

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Su Ying Tan's NPI number?

The NPI number for Su Ying Tan is 1376677096. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Su Ying Tan located?

Su Ying Tan practices at 544 S Brea Blvd, Brea, CA 92821. The listed phone number is (877) 277-2725.

What is Su Ying Tan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Su Ying Tan enrolled in Medicare?

Yes. Su Ying Tan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Su Ying Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Su Ying Tan reassigns Medicare benefits to Quest Health Management Psychological Corporation (Chino, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Su Ying Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Su Ying Tan was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.