Theresia Choi Bae, LICENSE PSYCHOLOGIS
NPI 1093767204ActiveIndividual· Psychologist, Clinical· Van Nuys, CA
Psychologist, Clinical (LICENSE PSYCHOLOGIS) in Van Nuys, California, licensed in CA, with an NPI issued in May 2006.
Overview
| NPI | 1093767204 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICENSE PSYCHOLOGIS |
| Sole proprietor | No |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Jul 13, 2022 |
| Certified by provider | Jul 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 33325 | CA |
| Social Worker, Clinical | 1041C0700X | LCS23286 | CA |
| Rehabilitation Practitioner | 225400000X | — | — |
| Rehabilitation Counselor | 225C00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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