Individual provider Active NPI

Thomas Tsung-Ping Chen, PSY.D.

  • Clinical Psychologist
  • Wailuku, HI
National Provider Identifier
1356577415
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1352 Issued in HI
Practice address
2200 Main St
Suite #519
Wailuku, HI 96793-1681
Phone
(808) 205-4489
NPI assigned
Jun 3, 2009
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17965 CA
Clinical Psychologist 103TC0700X 1352 HI Primary

Addresses

Primary practice location

2200 Main St
Suite #519
Wailuku, HI 96793-1681

Mailing address

135 Kulamanu Cir
Kula, HI 96790-8281
Phone (808) 205-4489

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

State licenses

LicenseStateTypeSpecialty
PSY17965CAMDClinical Psychologist
1352HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Christian Counseling Professional Corporation Clinical CurrentSince Jun 23, 2024 Accepting new patients

Locations

2200 Main St
Ste 519
Wailuku, HI 96793
Phone (808) 205-4489

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1356577415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KULAMANU CIR",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908281",
            "telephone_number": "808-205-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MAIN ST",
            "address_2": "SUITE #519",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931681",
            "telephone_number": "808-205-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "THOMAS",
        "middle_name": "TSUNG-PING",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17965",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.