Healthcare Provider Details

I. General information

NPI: 1467984377
Provider Name (Legal Business Name): CHIRON PSYCHOLOGICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19742 MACARTHUR BLVD STE 135
IRVINE CA
92612-2430
US

IV. Provider business mailing address

18200 YORBA LINDA BLVD STE 111
YORBA LINDA CA
92886-4043
US

V. Phone/Fax

Practice location:
  • Phone: 714-646-8034
  • Fax:
Mailing address:
  • Phone: 714-646-8034
  • Fax: 714-492-8264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL CHANG
Title or Position: DIRECTOR
Credential:
Phone: 714-380-6719