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CHRISTINE CHANG
NPI 1710360722
Counselor - Mental Health in Berkeley, CA

Active since July 08, 2015Opted out of Medicare · through Dec 13, 2027
2222 BANCROFT WAY, #4300, BERKELEY, CA 94720(510) 642-9336(510) 642-2368 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christine Chang NPPES

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

CHRISTINE CHANG (NPI 1710360722) is an individual mental health provider in Berkeley, California and active in the NPI registry since July 2015. She has opted out of Medicare through December 13, 2027.

NPPES Registry Identity

NPI1710360722
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTINE CHANG
Location Address2222 BANCROFT WAY, #4300Berkeley, CA 94720-4300
Mailing Address1590 Ontario Dr Apt 3Sunnyvale, CA 94087-4346
Phone(510) 642-9336
Fax(510) 642-2368
Sole ProprietorNo
Enumeration DateJuly 8, 2015
✔ NPI 1710360722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2222 BANCROFT WAY, Berkeley, CA 94720
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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

Christine Chang 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 December 13, 2023 through December 13, 2027.

Opt-Out Effective DateDecember 13, 2023
Opt-Out In Effect ThroughDecember 13, 2027Opt-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.

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.

UHS PHARMACY UC BERKELEY
Clinic/Center (Student Health)
2222 BANCROFT WAY, PHARMACY; ROOM 1115
BERKELEY, CA 94720
Alameda County (510) 642-3249
JESSICA B. VETTER RN, NP
Nurse Practitioner (Psychiatric/Mental Health)
2222 BANCROFT WAY, #4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
STEPHANIE DELEON-VALENCIA
Registered Nurse (College Health)
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 642-2000
SAVANNAH R MCLEAN
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 642-2000
LIZBETH VIVIANA URDANETA MELO LCSW
Social Worker (Clinical)
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 642-6621
XIAO HE
Counselor (Mental Health)
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 642-2000
SARAH RUTH DOWNEY BSN, RN
Registered Nurse (Emergency)
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 643-5808
DR. AMY VANESSA WERTHEIMER PH.D.
Psychologist
2222 BANCROFT WAY, 3RD FLOOR, COUNSELING & PSYCHOLOGICAL SERVICES
BERKELEY, CA 94720
Alameda County (510) 642-9331

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 Christine Chang's NPI number?

The NPI number for Christine Chang is 1710360722. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Christine Chang located?

Christine Chang practices at 2222 Bancroft Way #4300, Berkeley, CA 94720. The listed phone number is (510) 642-9336.

What is Christine Chang's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Christine Chang enrolled in Medicare?

No. Christine Chang has opted out of Medicare through December 13, 2027. 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 Christine Chang was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.