Active NPI
Stephen Chen, PSY.D.
- Psychologist
- San Jose, CA
National Provider Identifier
1518197367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 23095
- Practice address
- 1132 McKendrie St
San Jose, CA 95126-1406 - Phone
- (408) 244-9317
- NPI assigned
- Jul 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 23095 | CA | Primary |
Addresses
Primary practice location
1132 McKendrie St
San Jose, CA 95126-1406
Mailing address
1132 McKendrie St
San Jose, CA 95126-1406
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 23095 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1518197367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 MCKENDRIE ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 MCKENDRIE ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261406",
"telephone_number": "408-244-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 23095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.