Active NPI
Wilbert Yeung LLC
- Adolescent and Children Mental Health Clinic/Center
- Hackensack, NJ
National Provider Identifier
1356661920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 25MA08575400
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.