Individual provider Active NPI

Caitlin Elizabeth Chen, DO

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1508328675
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO33322 Issued in NV
Practice address
3014 W Charleston Blvd Ste 130
Las Vegas, NV 89102-0083
Phone
(702) 670-2825
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X DO215514 OR
Psychiatry Physician 2084P0800X DO33322 NV Primary

Addresses

Primary practice location

3014 W Charleston Blvd Ste 130
Las Vegas, NV 89102-0083

Mailing address

3014 W Charleston Blvd Ste 130
Las Vegas, NV 89102-0083
Phone (702) 670-2825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806001101 NV Practitioner - Psychiatry 4183959273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unlv Medicine 177 clinicians

Practice addresses (Care Compare)

4000 E Charleston Blvd
Suite 130
Las Vegas, NV 89104-6681
Phone (702) 968-4000

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO215514ORMDForensic Psychiatry Physician
DO33322NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Jul 22, 2024 Accepting new patients
Unlv Medicine CurrentSince Jun 18, 2024 Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Jul 22, 2024 Accepting new patients
Unlv Medicine CurrentSince Jun 16, 2024 Accepting new patients
Unlv Medicine CurrentSince Jun 18, 2024 Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400

4000 E Charleston Blvd
Ste 130
Las Vegas, NV 89104
Phone (702) 480-1031

3014 W Charleston Blvd
Ste 130
Las Vegas, NV 89102
Phone (702) 671-5127

4000 E Charleston Blvd
Ste 230
Las Vegas, NV 89104
Phone (702) 968-4000

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1508328675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 W CHARLESTON BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020083",
            "telephone_number": "702-670-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 W CHARLESTON BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020083",
            "telephone_number": "702-670-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CAITLIN",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "OR",
            "license": "DO215514",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO33322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.