Individual provider Active NPI

Natasha Wong, PSY.D.

  • Clinical Psychologist
  • McMinnville, OR
National Provider Identifier
1134677305
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1475 Issued in OR
Practice address
1271 NE Highway 99W # 169
McMinnville, OR 97128-2720
Phone
(503) 560-9828
Fax
(503) 215-8556
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1475 OR Primary

Addresses

Primary practice location

1271 NE Highway 99W # 169
McMinnville, OR 97128-2720

Mailing address

1271 NE Highway 99W # 169
McMinnville, OR 97128-2720
Phone (503) 560-9828

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

LicenseStateTypeSpecialty
1475ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natasha Wong, P.C. Clinical Past 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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1134677305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 NE HIGHWAY 99W # 169",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282720",
            "telephone_number": "503-560-9828",
            "fax_number": "503-215-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 NE HIGHWAY 99W # 169",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282720",
            "telephone_number": "503-560-9828",
            "fax_number": "503-215-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "NATASHA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.