Steven John Chen, PH.D.
Individual provider Active NPI Clinical Psychologist · Draper, UT
NPI 1265636765 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265636765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2719072501 (UT)
- Practice address
- 12660 Fort St
Suite 103
Draper, UT 84020-9303 - Phone
- (801) 816-1801
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2719072501 | UT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Management Systems, Inc. | Past | Accepting new patients | |
| Deborah a Christensen PHD & Associates, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2719072501 | UT | Yes |
Addresses
Primary practice location
12660 Fort St
Suite 103
Draper, UT 84020-9303
Mailing address
1287 Hickenlooper Way
Draper, UT 84020-7546
Phone (801) 523-9606
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.