Provider Demographics
NPI:1700649712
Name:CHAPA, CODY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CODY
Middle Name:
Last Name:CHAPA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1268
Mailing Address - Street 2:
Mailing Address - City:STRATHMORE
Mailing Address - State:CA
Mailing Address - Zip Code:93267-1268
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19855 GUTHRIE DR
Practice Address - Street 2:
Practice Address - City:STRATHMORE
Practice Address - State:CA
Practice Address - Zip Code:93267-8005
Practice Address - Country:US
Practice Address - Phone:559-920-6527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No103T00000XBehavioral Health & Social Service ProvidersPsychologist