Keon Chang, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

037628 Issued in MI

Practice address

2001 S Merriman Rd
Westland, MI 48186-5544

Phone

(734) 729-3133

NPI assigned

Jan 17, 2006

Last updated

Oct 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Apex Behavioral Health Western Wayne

  • Clinical Social Worker
  • Westland, MI
  • NPI 1962779710
  Medicare reassignment NPD
• Apex Behavioral Health,PLLC

  • Social Worker
  • Westland, MI
  • NPI 1821025347
  NPD (past)
• T W Park MD PC

  • Psychiatry Physician
  • Taylor, MI
  • NPI 1275721458
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1669451738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 E DUNBAR RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619127",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865544",
            "telephone_number": "734-729-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KEON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301037628",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "037628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2884620 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedaria ABA Therapy L.L.C.
• Margit Chadwell, MD
• Anindita Chakraborty
• Chami Group PC
• Miriam R Champine
• Chaplains, Inc. (Four Chaplains Nursing Care Centre)
• Demequa Chapman
• Gail Jean Chapman, MSW
• Judith Chapman
• Latia Marie Chappell, CPSS

• Psychiatry Physician in Westland, MI
• Providers in Westland, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.