Individual provider Active NPI

Lizhao Wang, PH.D.

  • Clinical Neuropsychologist
  • Topeka, KS
National Provider Identifier
1184699696
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
LP830 Issued in KS
Practice address
1504 SW 8TH Ave
Topeka, KS 66606-1632
Phone
(785) 232-8542
Fax
(785) 478-1791
NPI assigned
Feb 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X LP830 KS Primary

Addresses

Primary practice location

1504 SW 8TH Ave
Topeka, KS 66606-1632

Mailing address

5634 SW Clarion Lakes Dr
Topeka, KS 66610-1627
Phone (785) 232-8542

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20041213000508 KS Practitioner - Clinical Psychologist 6103883012 Practice locations: Topeka, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1504 SW 8TH Ave
Topeka, KS 66606-1632
Phone (785) 232-8542

5634 SW Clarion Lakes Dr
Topeka, KS 66610-1627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP830KSMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lizhao Wang Neuropsychological Service Clinical Neuropsychologist PastSince Jan 26, 1994 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": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1184699696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 SW CLARION LAKES DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101627",
            "telephone_number": "785-232-8542",
            "fax_number": "785-478-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SW 8TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061632",
            "telephone_number": "785-232-8542",
            "fax_number": "785-478-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LIZHAO",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KS",
            "license": "LP830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.