Individual provider Active NPI

Wendy Wen-Hui Sun, PSY.D.

  • Psychologist
  • Culver City, CA
National Provider Identifier
1346370939
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19792 Issued in CA
Practice address
5721 W. Slauson Ave
Suite 200
Culver City, CA 90230-6587
Phone
(310) 695-7864
Fax
(310) 846-4113
NPI assigned
Mar 6, 2007
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY19792 CA Primary

Addresses

Primary practice location

5721 W. Slauson Ave
Suite 200
Culver City, CA 90230-6587

Mailing address

5721 W. Slauson Ave
Suite 200
Culver City, CA 90230-6587
Phone (310) 695-7864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY19792CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Infant-Family Network Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1346370939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 W. SLAUSON AVE",
            "address_2": "SUITE 200",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306587",
            "telephone_number": "310-695-7864",
            "fax_number": "310-846-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 W. SLAUSON AVE",
            "address_2": "SUITE 200",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306587",
            "telephone_number": "310-695-7864",
            "fax_number": "310-846-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "WENDY",
        "middle_name": "WEN-HUI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.