Active NPI
Chong Wang, PHD
- Psychologist
- Carrollton, TX
National Provider Identifier
1225540313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35153
- Practice address
- 4221 Medical Pkwy Ste 400
Carrollton, TX 75010-4548 - Phone
- (469) 416-4882
- NPI assigned
- Oct 30, 2017
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35153 | TX | Primary |
Addresses
Primary practice location
4221 Medical Pkwy Ste 400
Carrollton, TX 75010-4548
Mailing address
3008 Mill Ridge Dr
Plano, TX 75025-3970
Other names 1
- Cressy Wang
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35153 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Psychological Services PLLC | Psychologist | 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.
-
- Psychologist
- Carrollton, TX
- NPI 1922511286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520121600000",
"number": "1225540313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 MILL RIDGE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750253970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 MEDICAL PKWY STE 400",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104548",
"telephone_number": "469-416-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "CHONG",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2018-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "35153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRESSY",
"last_name": "WANG",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.