Jimmy Shanjun Chen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D00059660 Issued in MD

Practice address

18502 Office Park Drive
Montgomery Village, MD 20886

Phone

(301) 740-2680

Fax

(301) 560-4924

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Suburban Therapy and Treatment Services LLC

  • Psychiatry Physician
  • Montgomery Village, MD
  • NPI 1538342787

  DC, Psychiatry

  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  Psychiatry

  NPD (past)
• Washington Assessment & Therapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kensington, MD
  • NPI 1689710022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1164534723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23907 OLD HUNDRED RD",
            "city": "DICKERSON",
            "state": "MD",
            "postal_code": "208429666",
            "telephone_number": "408-880-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18502 OFFICE PARK DRIVE",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "20886",
            "telephone_number": "301-740-2680",
            "fax_number": "301-560-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JIMMY",
        "middle_name": "SHANJUN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D00059660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iliana Castilla
• Gerald W Chan, DMD
• Charishma LLC
• Arti H Chauhan
• Jessica Cheeks, LCSW-C
• Cheryl Winchell, M.D., P.a.
• Chinh N. Le. D.D.S. L.L.C.
• Caroline Jullie Chinyani, NP
• Choice Pain & Rehabilitation Center, LLC
• Choice Pain Surgery Center, LLC

• All providers in Montgomery Village, MD
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.

Verify at the official NPI Registry.