Active NPI
Myrtle Yuen Chaen Wong, PSYD.
- Clinical Psychologist
- Pearl City, HI
National Provider Identifier
1053435842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY882
- Practice address
- 98-1238 Kaahumanu St #302
Pearl City, HI 96782 - Phone
- (808) 381-3864
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY882 | HI | Primary |
Addresses
Primary practice location
98-1238 Kaahumanu St #302
Pearl City, HI 96782
Mailing address
88 Piikoi #1203
Honolulu, HI 96814
Phone (808) 381-3864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00D0252074 | Other | HI | HMSA |
Other names 1
- Myrtle Wong Schlosser
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY882 | HI | MD | Clinical Psychologist |
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1053435842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 PIIKOI #1203",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-381-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1238 KAAHUMANU ST #302",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "96782",
"telephone_number": "808-381-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MYRTLE",
"middle_name": "YUEN CHAEN",
"name_prefix": "Ms.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00D0252074",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MYRTLE",
"last_name": "SCHLOSSER",
"middle_name": "WONG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pearl City, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.