Active NPI
Yung-Chung Wong, PSY.D.
- Clinical Psychologist
- Porterville, CA
National Provider Identifier
1174877252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 19001
- Practice address
- 26501 Avenue 140
Porterville Developmental Center
Porterville, CA 93257-9109 - Phone
- (559) 782-2644
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 19001 | CA | Primary |
Addresses
Primary practice location
26501 Avenue 140
Porterville Developmental Center
Porterville, CA 93257-9109
Mailing address
PO Box 944202
Sacramento, CA 94244-2020
Phone (559) 782-2644
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 19001 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1174877252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 944202",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "942442020",
"telephone_number": "559-782-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26501 AVENUE 140",
"address_2": "PORTERVILLE DEVELOPMENTAL CENTER",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932579109",
"telephone_number": "559-782-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "YUNG-CHUNG",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 19001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.