Organization Active NPI

Chong Psychological Services

  • Adult Mental Health Clinic/Center
  • Lewisville, TX
National Provider Identifier
1396475463
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHONG PSYCHOLOGICAL SERVICES
Practice address
4400 State Highway 121 Ste 300
Lewisville, TX 75056-5157
Phone
(972) 835-8189
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Wen Wen Chong, LPNPI 1134865348
Title
Licensed Psychologist
Phone
(469) 476-0091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4400 State Highway 121 Ste 300
Lewisville, TX 75056-5157

Mailing address

4400 State Highway 121 Ste 300
Lewisville, TX 75056-5157

National Provider Directory

National Provider Directory

Locations

4400 State Highway 121
Ste 300
Lewisville, TX 75056
Phone (469) 251-0377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1396475463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 STATE HIGHWAY 121 STE 300",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 STATE HIGHWAY 121 STE 300",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565157",
            "telephone_number": "972-835-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHONG PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "WEN WEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "469-476-0091",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.