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Deactivated NPI 1306482039 Deactivated / Inactive NPI Female Practitioner

Sydney Chan

Audiologist • Silver Spring, MD

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sydney Chan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 18, 2019
NPI Deactivation Date November 27, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Sydney Chan was a registered Audiologist in Silver Spring, MD. Prior to record deactivation on 2024-11-27, Sydney Chan completed approximately 1 years of clinical practice following graduation from Pacific Medical College in 2024.

Sydney Chan was affiliated with Privia Medical Group, Llc and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2415 Musgrove Rd Ste 306

Silver Spring, MD 209045205

Telephone 3013845977
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Pacific Medical College

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Silver Spring, MD

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -13.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
20 Specialists

Practicing in Silver Spring, MD (526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chan (2 Years) 2 Yrs
Silver Spring Specialty Average (15.3 Years) 15.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-07
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Hospital & Practice Group Affiliations

Privia Medical Group, Llc

2440 M St Nw, Washington, DC 200371474

Phone: 2022962440

Secondary Practice Locations

3336 Bradshaw Rd Ste 140

Sacramento, CA 958272697

Phone: 9162454133

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1629226154

Master of Arts, CCCA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 07, 2025

Registered at 2415 MUSGROVE RD STE 306, SILVER SPRING, MD 209045205 (Tel: 3013845977)

📍
Updated Business Mailing Address January 07, 2025

Registered at 6000 MERRIWEATHER DR UNIT 7050, COLUMBIA, MD 210444464 (Tel: 9168024625)

👤
Provider Name / Credentials Updated January 07, 2025

Recorded as SYDNEY CHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2025

Behavior Technician

⚠️
NPI Profile Deactivated November 27, 2024

Record deactivated on November 27, 2024

NPI Profile Active November 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2019

Registered at 3336 BRADSHAW RD STE 140, SACRAMENTO, CA 958272697 (Tel: 9162454133)

📍
Updated Business Mailing Address November 18, 2019

Registered at 18726 S WESTERN AVE STE 408, GARDENA, CA 902483858 (Tel: 3108560800)

👤
Provider Name / Credentials Updated November 18, 2019

Recorded as SYDNEY CHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306482039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2019
Last Update: January 07, 2025
Deactivation Date: November 27, 2024
Sole Proprietor: No

Mailing Address

6000 Merriweather Dr Unit 7050

Columbia, MD 210444464

Phone: 9168024625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.