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

Active since July 08, 2015PECOS Enrolled
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: July 19, 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 is enrolled in Medicare PECOS.

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
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

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, 2025.

Opt-Out Effective DateDecember 13, 2023
Opt-Out In Effect ThroughDecember 13, 2025Opt-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


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
2222 BANCROFT WAY, #4300
BERKELEY, CA 94720
Family Medicine (Adult Medicine)
2222 BANCROFT WAY
BERKELEY, CA 94720
Nurse Practitioner (Adult Health)
2222 BANCROFT WAY
BERKELEY, CA 94720
Family Medicine
2222 BANCROFT WAY
BERKELEY, CA 94720
Emergency Medicine
2222 BANCROFT WAY, 4300
BERKELEY, CA 94720
Nurse Practitioner
2222 BANCROFT WAY
BERKELEY, CA 94720
Nurse Practitioner (Primary Care)
2222 BANCROFT WAY
BERKELEY, CA 94720
Physical Therapist
2222 BANCROFT WAY, #4300
BERKELEY, CA 94720
Nurse Practitioner (Psychiatric/Mental Health)
2222 BANCROFT WAY, #4300
BERKELEY, CA 94720
Social Worker (Clinical)
2222 BANCROFT WAY, #4300
BERKELEY, CA 94720
Family Medicine (Adult Medicine)
2222 BANCROFT WAY
BERKELEY, CA 94720
Psychologist (Counseling)
2222 BANCROFT WAY
BERKELEY, CA 94720
Counselor (Mental Health)
2222 BANCROFT WAY, COUNSELING AND PSYCHOLOGICAL SERVICES
BERKELEY, CA 94720
Psychologist
2222 BANCROFT WAY, 3RD FLOOR, COUNSELING & PSYCHOLOGICAL SERVICES
BERKELEY, CA 94720
Psychologist (Counseling)
2222 BANCROFT WAY, UNIVERSITY HEALTH SERVICE - CPS
BERKELEY, CA 94720
Psychologist (Counseling)
2222 BANCROFT WAY
BERKELEY, CA 94720
Social Worker
2222 BANCROFT WAY
BERKELEY, CA 94720
Psychologist (Counseling)
2222 BANCROFT WAY, TANG CENTER UC BERKELEY
BERKELEY, CA 94720
Psychologist (Counseling)
2222 BANCROFT WAY, CPS- UNIVERSITY HEALTH SERVICES
BERKELEY, CA 94720
Counselor
2222 BANCROFT WAY
BERKELEY, CA 94720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710360722, enumerated as an "individual" on July 08, 2015.

The provider is located at 2222 BANCROFT WAY #4300 BERKELEY, CA 94720 and the phone number is (510) 642-9336.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.