Individual provider Active NPI

Wenhsin Chang, PH.D., L.P.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1093366270
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY32489 Issued in CA
Practice address
106 Thorn St
San Diego, CA 92103-5629
Phone
(619) 354-7400
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY32489 CA Primary
Counseling Psychologist 103TC1900X 084778 IA

Addresses

Primary practice location

106 Thorn St
San Diego, CA 92103-5629

Mailing address

4653 Carmel Mountain Rd
Ste 308 #Aa314
San Diego, CA 92130-6650
Phone (619) 376-2325

Other practice location 1

4653 Carmel Mountain Rd
Ste 308 #AA314
San Diego, CA 92130-6650
Phone (619) 376-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 5, 2021 through Dec 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY32489CAMDClinical Psychologist
084778IAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ames Psychological Wellness Center, PLC Counseling PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1093366270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 CARMEL MOUNTAIN RD",
            "address_2": "STE 308 #AA314",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306650",
            "telephone_number": "619-376-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THORN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035629",
            "telephone_number": "619-354-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4653 Carmel Mountain Rd",
            "address_2": "Ste 308 #AA314",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921306650",
            "country_code": "US",
            "telephone_number": "619-376-2325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WENHSIN",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32489",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "084778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.