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DR. NICOLE F CHUNG PSY.D.
NPI 1548492838
Psychologist - Clinical in San Francisco, CA

Active since August 20, 2009Opted out of Medicare · through Mar 17, 2028
582 MARKET ST STE 601, SAN FRANCISCO, CA 94104(415) 857-0383(888) 859-2631 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2022, Aug 31, 2018, Mar 22, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Nicole F Chung Psy.d. NPPES

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

DR. NICOLE F CHUNG PSY.D. (NPI 1548492838) is an individual clinical provider in San Francisco, California, licensed in California (PSY27721) and active in the NPI registry since August 2009. She has opted out of Medicare through March 17, 2028.

NPPES Registry Identity

NPI1548492838
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLE F CHUNGCredential: PSY.D.
Location Address582 MARKET ST STE 601San Francisco, CA 94104
Mailing AddressPo Box 460661San Francisco, CA 94146-0661 · (415) 857-0383 · Fax (888) 859-2631
Phone(415) 857-0383
Fax(888) 859-2631
Sole ProprietorYes
Enumeration DateAugust 20, 2009
Last NPPES UpdateMay 20, 20224 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1548492838 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 · PSY27721
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.
582 MARKET ST STE 601, San Francisco, CA 94104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nicole F Chung Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2024 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2024
Opt-Out In Effect ThroughMarch 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94104 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES 3

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

DR. STEVEN RYAN VIDRINE M.D.
Psychiatry & Neurology (Psychiatry)
582 MARKET ST STE 601
SAN FRANCISCO, CA 94104
San Francisco County (415) 364-8419
DR. JUAN DAVID LOPEZ M.D.
Psychiatry & Neurology (Psychiatry)
582 MARKET ST STE 601
SAN FRANCISCO, CA 94104
San Francisco County (650) 272-0082
DR. LAUREL ANDERSON KHURANA
Psychologist (Clinical)
582 MARKET ST STE 601
SAN FRANCISCO, CA 94104
San Francisco County (415) 702-1568

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 Nicole Chung's NPI number?

The NPI number for Nicole Chung is 1548492838. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Where is Nicole Chung located?

Nicole Chung practices at 582 Market St Ste 601, San Francisco, CA 94104. The listed phone number is (415) 857-0383.

What is Nicole Chung's specialty?

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

Is Nicole Chung enrolled in Medicare?

No. Nicole Chung has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Chung was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.