NANCY CHEN PSYD
NPI 1275765521
Clinical Neuropsychologist in Fuquay Varina, NC

NPI Status: Active since August 20, 2009

Contact Information

849 STABLE FERN DR
FUQUAY VARINA, NC
ZIP 27526
Phone: (510) 316-5170

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  • Individual
  • Female
  • Years of Experience 13
  • Clinical Neuropsychologist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NANCY CHEN

This page provides the complete NPI Profile along with additional information for Nancy Chen, a provider established in Fuquay Varina, North Carolina with a medical specialization in Clinical Neuropsychologist and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1275765521 assigned on August 2009. The practitioner's primary taxonomy code is 103G00000X with license number PSY28077 (CA). The provider is registered as an individual and her NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1275765521
Provider Name
NANCY CHEN PSYD
Gender
Female
Entity Type
Individual
Location Address
849 STABLE FERN DR FUQUAY VARINA, NC 27526
Location Phone
(510) 316-5170
Mailing Address
849 STABLE FERN DR FUQUAY VARINA, NC 27526
Mailing Phone
(510) 316-5170
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
Yes
Enumeration Date
08-20-2009
Last Update Date
12-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY28077
License State
CA
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

6404 (NC)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Medicare Participation & PECOS Enrollment Status

Nancy Chen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nancy Chen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719424274

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240801001706

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275765521
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451461054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 6 + 1 + 0 + 5 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1275765521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609629112CADENCE NEUROPSYCHOLOGICAL SERVICES PLLC
Organization
Clinical Neuropsychologist849 STABLE FERN DR
FUQUAY VARINA, NC 27526
(510) 316-5170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275765521, enumerated in the NPI registry as an "individual" on August 20, 2009

The provider is located at 849 Stable Fern Dr Fuquay Varina, Nc 27526 and the phone number is (510) 316-5170

The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X

The provider has more than 13 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on August 20, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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