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NICOLAS CHU PSY.D.
NPI 1912339540
Psychologist - Clinical in Corte Madera, CA

Active since August 06, 2013Opted out of Medicare · through Oct 1, 2027
21 TAMAL VISTA BLVD STE 225, CORTE MADERA, CA 94925(415) 233-7990 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Mar 27, 2020 (2 updates tracked since 2020).

About Nicolas Chu Psy.d. NPPES

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

NICOLAS CHU PSY.D. (NPI 1912339540) is an individual clinical provider in Corte Madera, California, licensed in California (PSY29056) and active in the NPI registry since August 2013. He has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1912339540
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameNICOLAS CHUCredential: PSY.D.
Location Address21 TAMAL VISTA BLVD STE 225Corte Madera, CA 94925-1130
Mailing Address21 Tamal Vista Blvd Ste 225Corte Madera, CA 94925-1130 · (415) 233-7990
Phone(415) 233-7990
Sole ProprietorNo
Enumeration DateAugust 6, 2013
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1912339540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY29056
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
21 TAMAL VISTA BLVD STE 225, Corte Madera, CA 94925
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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

Nicolas Chu 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 October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

ALEXIS CHRISTINE PETRAKIS PSY.D.
Psychologist (Clinical)
21 TAMAL VISTA BLVD STE 225
CORTE MADERA, CA 94925
Marin County (707) 216-1845
BAY AREA MHC PSYCHOLOGY PC
Psychologist (Clinical)
21 TAMAL VISTA BLVD STE 225
CORTE MADERA, CA 94925
Marin County (415) 233-7990
ERIN MICHELLE HISAE YIP PSYD
Psychologist (Clinical)
21 TAMAL VISTA BLVD STE 225
CORTE MADERA, CA 94925
Marin County (415) 289-9280
ALISSA C VANNET PSYD
Psychologist
21 TAMAL VISTA BLVD STE 225
CORTE MADERA, CA 94925
Marin County (415) 216-2167

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 Nicolas Chu's NPI number?

The NPI number for Nicolas Chu is 1912339540. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Nicolas Chu located?

Nicolas Chu practices at 21 Tamal Vista Blvd Ste 225, Corte Madera, CA 94925. The listed phone number is (415) 233-7990.

What is Nicolas Chu's specialty?

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

Is Nicolas Chu enrolled in Medicare?

No. Nicolas Chu has opted out of Medicare through October 1, 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 Nicolas Chu was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.