Active NPI
Wayne Wei-Yuan Chang, MD
- Psychiatry Physician
- Fredericksburg, VA
National Provider Identifier
1285677104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101226040
- Practice address
- 3715 Latimers Knoll CT Ste 103
Fredericksburg, VA 22408-7361 - Phone
- (540) 357-7101
- Fax
- (540) 361-1874
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101226040 | VA | Primary |
Addresses
Primary practice location
3715 Latimers Knoll CT Ste 103
Fredericksburg, VA 22408-7361
Mailing address
3715 Latimers Knoll CT Ste 103
Fredericksburg, VA 22408-7361
Phone (540) 357-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010229898 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160628000033 | VA | Order and Referring Only - Psychiatry | 6002847803 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226040 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aracoma Smith, LCSW, PLLC | Current | Accepting new patients | |
| Mary Washington Healthcare Specialty Services LLC | Past | Accepting new patients | |
| Commonwealth Counseling Associates Inc | Psychiatry | Past | Accepting new patients |
Locations
3715 Latimers Knoll Ct
Ste 103
Fredericksburg, VA 22408
Phone (540) 357-7101
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Fredericksburg, VA
- NPI 1649316282
-
- Clinical Psychologist
- Mechanicsville, VA
- NPI 1851345805
Psychiatry
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1821033010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1285677104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 LATIMERS KNOLL CT STE 103",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224087361",
"telephone_number": "540-357-7101",
"fax_number": "540-361-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 LATIMERS KNOLL CT STE 103",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224087361",
"telephone_number": "540-357-7101",
"fax_number": "540-361-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "WAYNE",
"middle_name": "WEI-YUAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101226040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010229898",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.