Individual provider Active NPI

Shana Rae Chung, NP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Chadds Ford, PA
National Provider Identifier
1639620446
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
SP016530 Issued in PA
Practice address
6 Dickinson Dr Ste 107
Chadds Ford, PA 19317-9689
Phone
(610) 361-9500
NPI assigned
Oct 17, 2016
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X SP016530 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP016530 PA

Addresses

Primary practice location

6 Dickinson Dr Ste 107
Chadds Ford, PA 19317-9689

Mailing address

PO Box 306704
Nashville, TN 37230-6704

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929000234 PA Practitioner - Nurse Practitioner 2567743131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry Today IncGroup PAC ID 7911158282, 12 clinicians

Practice addresses (Care Compare)

6 Dickinson Dr
Suite 107
Chadds Ford, PA 19317-9689
Phone (610) 361-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 6, 2020 Accepting new patients
Psychiatry Today Inc. CurrentSince Aug 21, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 6, 2020 Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

150 Monument Rd
Ste 300
Bala Cynwyd, PA 19004
Phone (610) 617-2400

6 Dickinson Dr
Ste 107
Chadds Ford, PA 19317
Phone (610) 361-9500

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 4

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1639620446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306704",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DICKINSON DR STE 107",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179689",
            "telephone_number": "610-361-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SHANA",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP016530",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP016530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.