Individual provider Active NPI

Jaw Sy Chen, PHD

  • Psychologist
  • Flushing, NY
National Provider Identifier
1265204044
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
010459 Issued in NY
Practice address
3640 Main St Ste 502
Flushing, NY 11354-6521
Phone
(718) 888-9934
NPI assigned
Oct 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 010459 NY Primary

Addresses

Primary practice location

3640 Main St Ste 502
Flushing, NY 11354-6521

Mailing address

3640 Main St Ste 502
Flushing, NY 11354-6521
Phone (718) 888-9934

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

LicenseStateTypeSpecialty
010459NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Main St Acupuncture PC CurrentSince Sep 3, 2025 Accepting new patients
Rehab a to Z PT PC CurrentSince Sep 8, 2025 Accepting new patients

Locations

3640 Main St
Ste 502
Flushing, NY 11354
Phone (718) 888-9934

Organizations & group practices 2

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1265204044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 502",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546521",
            "telephone_number": "718-888-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 502",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546521",
            "telephone_number": "718-888-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JAW SY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.