Individual provider Active NPI

Michael Alan Chan, MD

  • Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1689614851
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35058032 Issued in OH
Practice address
750 Mount Carmel Mall
Suite 220
Columbus, OH 43222-1553
Phone
(614) 234-2970
Fax
(614) 234-2977
NPI assigned
Jun 7, 2006
Last updated
Mar 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35058032 OH Primary

Addresses

Primary practice location

750 Mount Carmel Mall
Suite 220
Columbus, OH 43222-1553

Mailing address

PO Box 951144
Cleveland, OH 44193
Phone (614) 546-4400

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Mount Carmel Health Past Accepting new patients
Mount Carmel Health Providers Two LLC Psychiatry Past Accepting new patients
Mount Carmel Healthproviders Two LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michaelchan@tdh.allscriptsdirect.net

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1689614851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951144",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44193",
            "telephone_number": "614-546-4400",
            "fax_number": "614-546-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-234-2970",
            "fax_number": "614-234-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35058032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.