Tia Wang

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-1281 Issued in HI

Practice address

319 N Cane St
Ste a
Wahiawa, HI 96786-2130

Phone

(808) 258-9362

NPI assigned

Sep 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tia Wang LLC

  • Adult Mental Health Clinic/Center
  • Wahiawa, HI
  • NPI 1245772334
  NPD (past) Authorized official

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1114200052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N CANE ST",
            "address_2": "STE A",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862130",
            "telephone_number": "808-258-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N CANE ST",
            "address_2": "STE A",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862130",
            "telephone_number": "808-258-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "TIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wahiawa Rehab Services Inc
• Wahiawa Tokunaga Family Dentistry, LLC
• Josephine Dela Torre Waite, MD
• Christine Wakida
• Walgreen Co
• Tiffani Ward, LCSW-C
• Adrienne Warden
• Michele Fabienne Washechek
• Janet Lee Wellhouser, R.PH.
• Wesley K. Nihei, D.D.S. Inc.

• Clinical Psychologist in Wahiawa, HI
• Providers in Wahiawa, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.