CLARK CHEN D.O.
NPI 1457733719
Psychiatry & Neurology - Child & Adolescent Psychiatry in Troy, MI

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
2075 W BIG BEAVER RD STE 520, TROY, MI 48084(248) 646-6659 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2023, Oct 18, 2022, May 15, 2020 and 2 more (5 updates tracked since 2017).

About Clark Chen D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK CHEN D.O. (NPI 1457733719) is an individual child & adolescent psychiatry provider in Troy, Michigan, licensed in California (19576) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457733719
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameCLARK CHENCredential: D.O.
Location Address2075 W BIG BEAVER RD STE 520Troy, MI 48084-3442
Mailing Address2080 W Empire Ave # 1080Burbank, CA 91504-3434 · (818) 937-3399 · Fax (818) 514-7897
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 23, 2015
Last NPPES UpdateJanuary 4, 20235 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1457733719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CA · 19576
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License OS14427 (FL), 5101024209 (MI)
2075 W BIG BEAVER RD STE 520, Troy, MI 48084

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clark Chen D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002187879
PECOS Enrollment IDI20221223001108
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
2075 W BIG BEAVER RD STE 520
TROY, MI 48084
Social Worker (Clinical)
2075 W BIG BEAVER RD STE 520
TROY, MI 48084
Psychologist (Clinical)
2075 W BIG BEAVER RD STE 520
TROY, MI 48084
Psychologist
2075 W BIG BEAVER RD STE 520
TROY, MI 48084
Psychiatry & Neurology (Psychiatry)
2075 W BIG BEAVER RD STE 520
TROY, MI 48084
Counselor (Mental Health)
2075 W BIG BEAVER RD STE 520
TROY, MI 48084
Psychologist
2075 W BIG BEAVER RD STE 520
TROY, MI 48084
Psychologist (Clinical)
2075 W BIG BEAVER RD STE 520
TROY, MI 48084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Chen's NPI number?

The NPI number for Clark Chen is 1457733719. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Clark Chen located?

Clark Chen practices at 2075 W Big Beaver Rd Ste 520, Troy, MI 48084. The listed phone number is (248) 646-6659.

What is Clark Chen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Clark Chen enrolled in Medicare?

Yes. Clark Chen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Clark Chen was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.