Jing Wang

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2100 Manchester Rd
Wheaton, IL 60187-4579

Phone

(630) 653-1717

NPI assigned

Mar 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1255967501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 TAFT AVE APT B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874579",
            "telephone_number": "630-653-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Manchester Rd Ste 1510",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601874561",
            "country_code": "US",
            "telephone_number": "630-653-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601874579",
            "country_code": "US",
            "telephone_number": "630-653-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 Taft Ave Apt B",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601896752",
            "country_code": "US",
            "telephone_number": "630-597-5376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Walsh, PHD
• Jasmine Marie Walton, M.D.
• Linda Elizabeth Walzak, MSW
• Brandi Wamhoff, BS
• Bo Wang
• Deborah Ward
• Lillian Warden, DC
• Melissa Warner
• Ronald Anthony Warren, RPH
• De'Andrea Washington

• Psychologist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.