DOCTOR TLC, LICENSE CLINICAL PSYCHOLOGIST, INC.
NPI 1528507084
Community/Behavioral Health in Santa Monica, CA

Active since February 16, 2017
1242 THIRD ST PROMENADE,, SUITE 208, SANTA MONICA, CA 90401(201) 406-9496 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 17, 2019, Feb 16, 2017 (2 updates tracked since 2017).

About Doctor Tlc, License Clinical Psychologist, Inc. NPPES

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

DOCTOR TLC, LICENSE CLINICAL PSYCHOLOGIST, INC. (NPI 1528507084), doing business as Teresa L. Chung, Psy.d., is a healthcare organization registered as a community/behavioral health in Santa Monica, California and active in the NPI registry since February 2017. The organization lists Teresa Liaw Chung, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528507084
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDOCTOR TLC, LICENSE CLINICAL PSYCHOLOGIST, INC.
Location Address1242 THIRD ST PROMENADE,, SUITE 208Santa Monica, CA 90401
Mailing Address1242 Third St Promenade,, Suite 208Santa Monica, CA 90401 · (201) 406-9496
Organization SubpartNo
Authorized OfficialTeresa Liaw ChungCeo · (424) 272-5233
Enumeration DateFebruary 16, 2017
Last NPPES UpdateJuly 17, 20192 updates tracked since enumeration
✔ NPI 1528507084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · PSY27669
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1242 THIRD ST PROMENADE,, Santa Monica, CA 90401

Other Names 1

Former Legal Business NameTeresa L. Chung, Psy.d.

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 Doctor Tlc, License Clinical Psychologist, Inc.'s NPI number?

The NPI number for Doctor Tlc, License Clinical Psychologist, Inc. is 1528507084. It was assigned to this organization in the NPPES registry on February 16, 2017. The provider was formerly known as Teresa L. Chung, Psy.D..

Where is Doctor Tlc, License Clinical Psychologist, Inc. located?

Doctor Tlc, License Clinical Psychologist, Inc. is located at 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401. The listed phone number is (201) 406-9496.

What is Doctor Tlc, License Clinical Psychologist, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Doctor Tlc, License Clinical Psychologist, Inc. was last updated on July 17, 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.