Individual provider Active NPI

Pascual Chen, PSY.D.

  • Psychologist
  • Wexford, PA
National Provider Identifier
1588828875
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017209 Issued in PA
Practice address
6200 Brooktree Rd Ste 110
Wexford, PA 15090-9299
Phone
(412) 628-2818
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019144 NY
Psychologist 103T00000X PS017209 PA Primary

Addresses

Primary practice location

6200 Brooktree Rd Ste 110
Wexford, PA 15090-9299

Mailing address

6200 Brooktree Rd Ste 110
Wexford, PA 15090-9299
Phone (412) 628-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009001580 PA Practitioner - Clinical Psychologist 8527292374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6200 Brooktree Rd
Suite 110
Wexford, PA 15090-9299
Phone (412) 628-2818

6400 Brooktree CT
Suite 320
Wexford, PA 15090-9271
Phone (412) 628-2818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017209PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Psychological Services, LLC CurrentSince Aug 12, 2013 Accepting new patients

Locations

6200 Brooktree Rd
Ste 110
Wexford, PA 15090
Phone (412) 628-2818

6400 Brooktree Ct
Ste 320
Wexford, PA 15090
Phone (412) 628-2818

9500 Brooktree Rd
Ste 207
Wexford, PA 15090
Phone (412) 605-4697

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1588828875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BROOKTREE RD STE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909299",
            "telephone_number": "412-628-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BROOKTREE RD STE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909299",
            "telephone_number": "412-628-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "PASCUAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019144",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.