Healthcare Provider Details

I. General information

NPI: 1962337188
Provider Name (Legal Business Name): TSOI YI CHUNG PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 ELMWOOD DR
WALNUT CREEK CA
94597-2120
US

IV. Provider business mailing address

1250 ELMWOOD DR
WALNUT CREEK CA
94597-2120
US

V. Phone/Fax

Practice location:
  • Phone: 206-530-7936
  • Fax:
Mailing address:
  • Phone: 206-530-7936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY38734
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: