Individual provider Active NPI

Wayne Wei-Yuan Chang, MD

  • Psychiatry Physician
  • Fredericksburg, VA
National Provider Identifier
1285677104
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101226040 Issued in VA
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

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010229898MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160628000033 VA Order and Referring Only - PsychiatryPractitioner - 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101226040VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aracoma Smith, LCSW, PLLC CurrentSince Jul 9, 2023 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients
Commonwealth Counseling Associates Inc Psychiatry PastSince Jan 1, 2011 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.

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

Verify at the official NPI Registry.