Organization Active NPI

Wilbert Yeung LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Hackensack, NJ
National Provider Identifier
1356661920
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
25MA08575400 Issued in NJ
Legal business name
WILBERT YEUNG LLC
Practice address
75 Essex St Ste 206
Hackensack, NJ 07601-4035
Phone
(908) 208-8250
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Wilbert Yeung, M.D.
Title
Sole Member
Phone
(908) 208-8250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 25MA08575400 NJ
Adolescent and Children Mental Health Clinic/Center 261QM0855X 25MA08575400 NJ Primary

Addresses

Primary practice location

75 Essex St Ste 206
Hackensack, NJ 07601-4035

Mailing address

75 Essex St Ste 206
Hackensack, NJ 07601-4035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1356661920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ESSEX ST STE 206",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ESSEX ST STE 206",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014035",
            "telephone_number": "908-208-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBERT YEUNG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "908-208-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "25MA08575400",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "25MA08575400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.