Active NPI
Danielle Chen
- Clinical Psychologist
- Rogers, AR
National Provider Identifier
1982153987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 202281
- Practice address
- 1122 S 24TH St
Rogers, AR 72758-4878 - Phone
- (626) 782-3133
- NPI assigned
- Oct 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34676 | CA | |
| Clinical Psychologist | 103TC0700X | 202281 | AR | Primary |
Addresses
Primary practice location
1122 S 24TH St
Rogers, AR 72758-4878
Mailing address
1122 S 24TH St
Rogers, AR 72758-4878
Phone (626) 782-3133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2514 W Orleans Dr
Rogers, AR 72758-3976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34676 | CA | MD | Clinical Psychologist |
| 202281 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relational Wholeness PLLC | Clinical | Current | Accepting new patients |
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": "1475366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1982153987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 S 24TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727584878",
"telephone_number": "626-782-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 S 24TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727584878",
"telephone_number": "626-782-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-02",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34676",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "202281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.