Active NPI
Haizhu Pearl Liu, M.D.
- Psychiatry Physician
- Atascadero, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C178973
- Practice address
- 10333 El Camino Real
Atascadero, CA 93422-5808 - Phone
- (805) 468-2000
- NPI assigned
- Sep 23, 2008
- Last updated
- Feb 18, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 240899 | NY | |
| Psychiatry Physician | 2084P0800X | C178973 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 240899 | NY |
Addresses
Primary practice location
10333 El Camino Real
Atascadero, CA 93422-5808
Mailing address
620 Madison St
Syracuse, NY 13210-2319
Phone (315) 426-3600
Other practice location 1
1003 Park St
Ogdensburg, NY 13669-3911
Phone (315) 713-9090
Other practice location 2
650 State Street
Watertown, NY 13601-2839
Phone (315) 755-1251
Other practice location 3
620 Madison St
Syracuse, NY 13210-2319
Phone (315) 426-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03142385 | Medicaid | NY |
Other names 1
- Dr. Haizhu Pearl Wang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Francis St
Malone, NY 12953-1807
Phone (518) 483-1251
650 State St
Watertown, NY 13601-2839
Phone (315) 755-1251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C178973 | CA | MD | Psychiatry Physician |
| 240899 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soldiers & Sailors Memorial Hospital | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| St. Joseph's Pathology, PC | Current | Accepting new patients | |
| Citizen Advocates, Inc | Current | Accepting new patients | |
| Soldiers & Sailors Memorial Hospital | Current | Accepting new patients |
Locations
10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
15 Francis St
Malone, NY 12953
Phone (518) 483-7801
1003 Park St
Ogdensburg, NY 13669
Phone (315) 713-9090
418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
650 State St
Watertown, NY 13601
Phone (315) 755-1251
Interoperability endpoints
- hliu2388360@direct.trinity-health.org
- lhz22202@hiemail.healtheconnections.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Star Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Malone, NY
- NPI 1780619064
-
dba Coalinga State Hospital
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
dba Soldiers & Sailors Memorial Hospital Hospitalist
- Emergency Medicine Physician
- Penn Yan, NY
- NPI 1043353618
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
dba Department of State Hospitals-Atascadero
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
- Family Medicine Physician
- Waterloo, NY
- NPI 1972101491
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1033369491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 MADISON ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102319",
"telephone_number": "315-426-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10333 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225808",
"telephone_number": "805-468-2000"
}
],
"practiceLocations": [
{
"address_1": "1003 Park St",
"address_purpose": "LOCATION",
"city": "Ogdensburg",
"state": "NY",
"postal_code": "136693911",
"country_code": "US",
"telephone_number": "315-713-9090",
"fax_number": "315-713-9330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 State Street",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "NY",
"postal_code": "136012839",
"country_code": "US",
"telephone_number": "315-755-1251",
"fax_number": "315-291-6601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 Madison St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102319",
"country_code": "US",
"telephone_number": "315-426-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "HAIZHU",
"middle_name": "PEARL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "240899",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C178973",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "240899",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03142385",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HAIZHU",
"last_name": "WANG",
"middle_name": "PEARL",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.