Active NPI
Karen Chin, PH.D.
- Psychologist
- Levittown, NY
National Provider Identifier
1245528702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018586-1
- Practice address
- 100 Periwinkle Rd
Levittown, NY 11756-2342 - Phone
- (516) 216-5270
- Fax
- (516) 216-5272
- NPI assigned
- Jul 19, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018586-1 | NY | Primary |
Addresses
Primary practice location
100 Periwinkle Rd
Levittown, NY 11756-2342
Mailing address
100 Periwinkle Rd
Levittown, NY 11756-2342
Phone (516) 216-5270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018586-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Elija School | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1245528702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PERIWINKLE RD",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117562342",
"telephone_number": "516-216-5270",
"fax_number": "516-216-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PERIWINKLE RD",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117562342",
"telephone_number": "516-216-5270",
"fax_number": "516-216-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018586-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.