Individual provider Active NPI

Michael Hao Jiang

  • Mental Health Counselor
  • Elmhurst, NY
National Provider Identifier
1083106322
Registry record updated Jun 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8114 Queens Blvd
Elmhurst, NY 11373-3789
Phone
(718) 899-9810
Fax
(718) 899-9699
NPI assigned
Jun 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8114 Queens Blvd
Elmhurst, NY 11373-3789

Mailing address

6140 Saunders St Apt D32
Rego Park, NY 11374-1014
Phone (646) 875-6836

Other identifiers 1

IdentifierTypeStateIssuer
8732349788432MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527897600000",
    "number": "1083106322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 SAUNDERS ST APT D32",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741014",
            "telephone_number": "646-875-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733789",
            "telephone_number": "718-899-9810",
            "fax_number": "718-899-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "MICHAEL",
        "middle_name": "HAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-02",
        "last_updated": "2018-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8732349788432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; 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.