Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark Chen, DO

Individual provider Psychiatry Physician · NPI 1457733719

Clark Chen, DO is a Psychiatry in Troy, Michigan. Qualified in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Florida and Michigan.

Years since qualifying
5
Licensed in
CA, FL, MI
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3442
Phone: (248) 646-6659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 19576 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence OS14427 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 5101024209 (MI)

Record details

NPI number1457733719
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESJanuary 4, 2023
Certification dateOctober 18, 2022
Mailing address2080 W Empire Ave # 1080, Burbank, CA 91504-3434

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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