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RUSSELLE CHUNG
NPI 1982025904
Licensed Psychiatric Technician in Rialto, CA

Active since December 17, 2013
850 E FOOTHILL BLVD, RIALTO, CA 92376(909) 421-9470(909) 873-4461 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russelle Chung NPPES

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

RUSSELLE CHUNG (NPI 1982025904) is an individual licensed psychiatric technician in Rialto, California, licensed in California (PT33524) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1982025904
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameRUSSELLE CHUNG
Location Address850 E FOOTHILL BLVDRialto, CA 92376-5230
Mailing Address850 E Foothill BlvdRialto, CA 92376-5230 · (909) 421-9470 · Fax (909) 873-4461
Phone(909) 421-9470
Fax(909) 873-4461
Sole ProprietorNo
Enumeration DateDecember 17, 2013
✔ NPI 1982025904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · PT33524
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
850 E FOOTHILL BLVD, Rialto, CA 92376
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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.

ROSE VERSACE MFT
Marriage & Family Therapist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9475
MRS. LINDA JOSEPHINE HEDGES M.F.T.
Marriage & Family Therapist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9470
MRS. PATRICIA LOPEZ
Interpreter
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9382
MAKIBA LATISE GREEN
Rehabilitation Practitioner
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 539-7566
MRS. MARIBEL PEREZ
Interpreter
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9456
DR. DIANA MAH PSY.D.
Psychologist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9380
MELISSA GUERRERO
Peer Specialist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9452
MRS. CHERYL PLACIDE MFT
Marriage & Family Therapist
850 E FOOTHILL BLVD
RIALTO, CA 92376
San Bernardino County (909) 421-9444

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 Russelle Chung's NPI number?

The NPI number for Russelle Chung is 1982025904. It was assigned to this individual provider in the NPPES registry on December 17, 2013.

Where is Russelle Chung located?

Russelle Chung practices at 850 E Foothill Blvd, Rialto, CA 92376. The listed phone number is (909) 421-9470.

What is Russelle Chung's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Russelle Chung was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.