Organization Active NPI

Ling L Wu PSYD LLC

  • Clinical Psychologist
  • Rockville, MD
National Provider Identifier
1164895843
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04539 Issued in MD
Legal business name
LING L WU PSYD LLC
Practice address
15807 Crabbs Branch Way Ste a
Rockville, MD 20855-6643
Phone
(240) 285-0047
Fax
(301) 668-3706
NPI assigned
Nov 3, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dr. Ling L Wu, PSY.D.NPI 1912135591
Title
Psychologist
Phone
(240) 285-0047

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 Psychologist 103TC0700X 04539 MD Primary

Addresses

Primary practice location

15807 Crabbs Branch Way Ste a
Rockville, MD 20855-6643

Mailing address

9357 Barrington CT
Frederick, MD 21701-7695
Phone (240) 285-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151215000978 DC Part B Supplier - Clinic/Group Practice 6103127212 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD; Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

15807 Crabbs Branch Way
Rockville, MD 20855
Phone (240) 285-0047

15807 Crabbs Branch Way
Ste A
Rockville, MD 20855
Phone (240) 285-0047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1164895843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9357 BARRINGTON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017695",
            "telephone_number": "240-285-0047",
            "fax_number": "301-668-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15807 CRABBS BRANCH WAY STE A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208556643",
            "telephone_number": "240-285-0047",
            "fax_number": "301-668-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LING L WU PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "LING",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "240-285-0047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.