Organization Active NPI

Natasha a.E. Wong, Psy.D, Apc

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1295151470
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26019 Issued in CA
Legal business name
NATASHA A.E. WONG, PSY.D, APC
Practice address
1559B Sloat Blvd # 187
San Francisco, CA 94132-1222
Phone
(415) 686-2349
Fax
(503) 214-8556
NPI assigned
Mar 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Dr. Natasha A.E. Wong, PSY.D.
Title
President
Phone
(415) 686-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY26019 CA Primary

Addresses

Primary practice location

1559B Sloat Blvd # 187
San Francisco, CA 94132-1222

Mailing address

1559B Sloat Blvd # 187
San Francisco, CA 94132-1222
Phone (415) 686-2349

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1295151470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559B SLOAT BLVD # 187",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321222",
            "telephone_number": "415-686-2349",
            "fax_number": "503-214-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559B SLOAT BLVD # 187",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321222",
            "telephone_number": "415-686-2349",
            "fax_number": "503-214-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA A.E. WONG, PSY.D, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "A.E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-686-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.