Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeannie Won Chang, PSYD

Individual provider Mental Health Counselor · NPI 1104055029

Dr. Jeannie Won Chang, PSYD is a Clinical Psychologist in San Francisco, California. Qualified in 2011, 15 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

555 Polk St
San Francisco, CA 94102-3333
Phone: (415) 292-2565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 375 Woodside Ave # W3, San Francisco, CA 94127-1221 — (415) 753-7810

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY27785 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1104055029
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 13, 2009
Last updated in NPPESMarch 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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