Active NPI
Angela Chia-Chen Chen, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP2663
- Practice address
- 2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692 - Phone
- (480) 804-0326
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704405994 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP2663 | AZ | Primary |
Addresses
Primary practice location
2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692
Mailing address
1400 E Southern Ave
Suite 735
Tempe, AZ 85282-5691
Phone (480) 804-0326
Other practice location 1
804 Service Rd Ste A110
East Lansing, MI 48824-7015
Phone (517) 355-2822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
804 Service Rd
East Lansing, MI 48824-7015
Phone (517) 353-2562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc | Current | Accepting new patients | |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Msu Health Care Inc | Family Medicine | Current | Accepting new patients |
| Msu Health Care Inc. | Past | Accepting new patients |
Locations
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Ste A110
East Lansing, MI 48824
Phone (517) 353-3003
804 Service Rd
East Lansing, MI 48824
Phone (517) 353-4941
804 Service Rd
Ste A225
East Lansing, MI 48824
Phone (517) 353-2562
Interoperability endpoints
- angela.chen.1@25394.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1316572134
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
-
- Neurology Physician
- East Lansing, MI
- NPI 1053943928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1124471735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E SOUTHERN AVE",
"address_2": "SUITE 735",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825691",
"telephone_number": "480-804-0326",
"fax_number": "480-302-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S MCCLINTOCK DR",
"address_2": "SUITE 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822692",
"telephone_number": "480-804-0326"
}
],
"practiceLocations": [
{
"address_1": "804 Service Rd Ste A110",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488247015",
"country_code": "US",
"telephone_number": "517-355-2822",
"fax_number": "517-355-2824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "ANGELA",
"middle_name": "CHIA-CHEN",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704405994",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP2663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.