Organization Active NPI

Wang Psychological Services PLLC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1235771312
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WANG PSYCHOLOGICAL SERVICES PLLC
Practice address
596 Executive PL Ste 102
Fayetteville, NC 28305-5189
Phone
(910) 758-1799
Fax
(910) 460-9659
NPI assigned
Oct 10, 2019
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Mei-Chuan Wang, PH.D.NPI 1184943003
Title
President
Phone
(910) 758-1799

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

596 Executive PL Ste 102
Fayetteville, NC 28305-5189

Mailing address

596 Executive PL Ste 102
Fayetteville, NC 28305-5189
Phone (910) 758-1799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191227000179 NC Part B Supplier - Clinic/Group Practice 2668806605 Receives reassigned benefits from 2 practitioners
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

596 Executive Pl
Ste 102
Fayetteville, NC 28305
Phone (910) 758-1799

Practitioners & affiliated clinicians

Practitioners 3

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": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1235771312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 EXECUTIVE PL STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055189",
            "telephone_number": "910-758-1799",
            "fax_number": "910-781-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 EXECUTIVE PL STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055189",
            "telephone_number": "910-758-1799",
            "fax_number": "910-460-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MEI-CHUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-758-1799",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.