Carmen K. Wong

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8114 Queens Blvd
Elmhurst, NY 11373-3789

Phone

(718) 899-9810

Fax

(718) 899-9699

NPI assigned

May 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carmen K. Chau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1336550052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 SAUNDERS ST APT 2D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742041",
            "telephone_number": "973-819-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733789",
            "telephone_number": "718-899-9810",
            "fax_number": "718-899-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CARMEN",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "C32561117258832",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "CHAU",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlyn Anne Wisherop, MD
• Within Yourself Psychotherapy Mental Health Counseling PC (Within Yourself Psychotherapy)
• Nancy Marie Witterholt-Colter, NP
• Stuart Wollman, M.D.
• Kelly Jee Yoon Won
• Crystal Wong, PHARMD
• Isabelle Joyce Wong
• Jennie Wong, D.D.S.
• Linda Wong, M.D., M.P.H.
• Richard J. Wong, M.D.

• Mental Health Counselor in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.