Healthcare Provider Details

I. General information

NPI: 1902720543
Provider Name (Legal Business Name): DIYI CHEN MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELAINE CHEN

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 AMORY ST
JAMAICA PLAIN MA
02130-2652
US

IV. Provider business mailing address

258 CONCORD AVE
BELMONT MA
02478-3029
US

V. Phone/Fax

Practice location:
  • Phone: 617-383-6522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number19266
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: