Kathy Chen PSYD PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KATHY CHEN PSYD PLLC

Practice address

17376 W 12 Mile Rd
Suite 102
Southfield, MI 48076-2118

Phone

(312) 479-8193

NPI assigned

Oct 23, 2016

Last updated

Oct 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Chen, PSYDNPI 1811339534

Title

Clinical Psychologist

Phone

(312) 479-8193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathy Chen, PSYD, LP

  • Clinical Psychologist
  • Southfield, MI
  • NPI 1811339534
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477180800000",
    "number": "1265983472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 DONNA AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712051",
            "telephone_number": "312-479-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17376 W 12 MILE RD",
            "address_2": "SUITE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762118",
            "telephone_number": "312-479-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY CHEN PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-23",
        "last_updated": "2016-10-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-479-8193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avin John Kashat, PT
• Laura Kaska, PA-C
• Mason Kasmikha, DDS
• Kasmire Pham Management & Consulting (A Plus Quality Home Care Consulting)
• Katherine M Johnson
• Kathy Klein Carney M.D., P.C.
• Kathy's Maternal Infant Health Program
• Jessica Kato
• Amar Katranji, DDS
• Laura Katschanow

• Community/Behavioral Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.