Organization Active NPI

C. S. Wu Psychological Professional Corporation

  • Clinical Psychologist
  • Rancho Cordova, CA
National Provider Identifier
1073357513
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
C. S. WU PSYCHOLOGICAL PROFESSIONAL CORPORATION
Practice address
4022 Sunrise Blvd Ste 120-370
Rancho Cordova, CA 95742-6911
Phone
(916) 903-2568
Fax
(916) 282-1613
NPI assigned
Jun 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christine S Wu, PSYDNPI 1437112448
Title
President/Ceo
Phone
(916) 903-2568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4022 Sunrise Blvd Ste 120-370
Rancho Cordova, CA 95742-6911

Mailing address

4022 Sunrise Blvd Ste 120-370
Rancho Cordova, CA 95742-6911
Phone (916) 903-2568

National Provider Directory

National Provider Directory

Locations

4022 Sunrise Blvd
Ste 120
Rancho Cordova, CA 95742
Phone (631) 568-7307

4022 Sunrise Blvd
Ste 120370
Rancho Cordova, CA 95742
Phone (916) 903-2568

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1073357513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 SUNRISE BLVD STE 120-370",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426911",
            "telephone_number": "916-903-2568",
            "fax_number": "916-282-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 SUNRISE BLVD STE 120-370",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426911",
            "telephone_number": "916-903-2568",
            "fax_number": "916-282-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. S. WU PSYCHOLOGICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-903-2568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.