Tia Wang LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PSY-1281 Issued in HI

Legal business name

TIA WANG LLC

Practice address

319 N Cane St
Wahiawa, HI 96786-2130

Phone

(808) 258-9362

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Tia WangNPI 1114200052

Title

Owner

Phone

(808) 258-9362

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tia Wang

  • Clinical Psychologist
  • Wahiawa, HI
  • NPI 1114200052
  NPD (past) Authorized official

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1245772334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967120987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N CANE ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862130",
            "telephone_number": "808-258-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIA WANG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-258-9362"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "HI",
            "license": "PSY-1281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Denise Theriaque
• Sydney Thompson, DPT
• Jacqueline Tommila
• Christopher M. Tortora, M.D.
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• U S Dermatology of Hawaii Inc
• Michelle Ushio, PHARMD

• Adult Mental Health Clinic/Center in Wahiawa, HI
• Providers in Wahiawa, HI by specialty
• Adult Mental Health Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.