Healthcare Provider Details

I. General information

NPI: 1811778046
Provider Name (Legal Business Name): INSIGHT PSYCHIATRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N LAKE AVE STE 800
PASADENA CA
91101-1857
US

IV. Provider business mailing address

155 N LAKE AVE STE 800
PASADENA CA
91101-1857
US

V. Phone/Fax

Practice location:
  • Phone: 626-578-5270
  • Fax:
Mailing address:
  • Phone: 626-578-5270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NANCY CHENG
Title or Position: PRESIDENT
Credential: MD
Phone: 773-742-0384