DR. SU YING SHARON TAN (NPI# 1376677096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376677096 |
| Entity Type | Individual |
| Full Name | DR. SU YING SHARON TAN |
| Credential | PSY.D. |
| Practice Address |
544 S Brea Blvd Brea CA 92821-5304 |
| Mailing Address |
2396 Branch Ln Brea CA 92821-4601 |
| Practice Telephone | 8772772725 |
| Mailing Telephone | 8772772725 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22612 | CA | Behavioral Health & Social Service Providers |
| Street Address |
544 S BREA BLVD |
| City | BREA |
| State | CA |
| Zip Code | 92821-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844921 | Christina Marie Iezza | Physical Medicine & Rehabilitation | 500 W. Central Ave, Suite B, Brea, CA 92821 | 2020-02-28 |
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1508336736 | Sonia Montez | Physical Therapy Assistant | Jump N Schout, 500 W Central Ave, Brea, CA 92821 | 2018-11-30 |
| 1215411921 | Eye View Optometry, Inc | Optometrist | 605 E. Imperial Hwy, Suite C, Brea, CA 92821 | 2018-09-18 |
| 1700395480 | Sheetal Patel | Registered Nurse | 955 W. Imperial Hwy., Suite 220, Brea, CA 92821 | 2017-09-25 |
| 1952827826 | Grace Cho | Occupational Therapist | 875 N Brea Blvd # 600, Brea, CA 92821 | 2017-08-22 |
| 1063959781 | Veronica Meza | Lactation Consultant, Non-RN | 551 Discovery Lane, #115, Brea, CA 92821 | 2017-01-20 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1558734921 | Eun Kim Chiropractic Inc | Chiropractor | 411 Atlas Street, Suite A, Brea, CA 92821 | 2015-11-07 |
| 1053784512 | Caremore Health Plan | Nurse Practitioner | 420 W. Central Avenue #a, Brea, CA 92821 | 2015-11-05 |
| Find all providers in zip 92821 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588211437 | Craig Phillip Wagner | Psychologist | 555 Pointe Dr Ste 314, Brea, CA 92821-3651 | 2019-08-23 |
| 1699339077 | Amy T Lin | Psychologist | 1800 E Lambert Rd Ste 108, Brea, CA 92821-4300 | 2019-04-30 |
| 1639439342 | Jenna Torres | Psychologist | 3350 E Birch St Ste 206, Brea, CA 92821 | 2012-05-29 |
| 1487958963 | Valerie L. Russell | Psychologist | 130 Buckthorn Dr, Brea, CA 92823-7003 | 2010-12-27 |
| 1619181005 | Rhonda L Mason | Psychologist | 238 S Orange Ave, Suite 107, Brea, CA 92821 | 2007-05-09 |
| 1225149453 | Roxie Robin Persi | Psychologist | 242 S Orange Ave, Suite 202, Brea, CA 92821 | 2006-08-31 |
| 1245247279 | Vicki Kaye Harvey | Psychologist | 238 S Orange Ave Ste 206, Brea, CA 92821-4980 | 2006-08-02 |
| 1669416699 | David Andrew Jarvis | Psychologist | 745 S Brea Blvd, Suite 23, Brea, CA 92821-5365 | 2006-06-16 |
| 1336131416 | Robert John Hohenstein | Psychologist | 3350 E Birch St, Suite 100, Brea, CA 92821-6264 | 2005-08-16 |
| 1831655273 | Suranee A Waleszonia Ph D A Psychology Corporation | Psychologist | 135 S State College Blvd Ste 200, Brea, CA 92821-5805 | 2019-02-11 |
| Find all providers in BREA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.