Wong Thies Psychology, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WONG THIES PSYCHOLOGY, PLLC

Practice address

11050 71St Rd Ste 1M
Forest Hills, NY 11375-4972

Phone

(917) 426-1170

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Wong ThiesNPI 1063896850

Title

Owner

Phone

(917) 426-1170

Specialties & licenses 1

Addresses

Other names 1

• Forest Hills Psychology Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Wong Thies, PSY.D.

  • Psychologist
  • Forest Hills, NY
  • NPI 1063896850
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1235749409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 71ST RD STE 1M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 71ST RD STE 1M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754972",
            "telephone_number": "917-426-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONG THIES PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "WONG THIES",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-426-1170",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Hills Psychology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Paul Wolfe
• Dylan Woloszczuk, LCSW
• Justin Wolsky
• Women'S Choice OBGYN PC
• Womens'S Advanced Healthcare,PC
• Kristina Wong Thies, PSY.D.
• Crystal Wong
• Ken Wong, M.D.
• Kervenne Wong
• Moon Hung Wong, L.AC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.