Active NPI
Zongjian Wu, PHD
- Psychologist
- Bismarck, ND
National Provider Identifier
1407095292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 428
- Practice address
- 1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208 - Phone
- (701) 328-8888
- Fax
- (701) 328-8900
- NPI assigned
- Feb 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 428 | ND | Primary |
Addresses
Primary practice location
1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208
Mailing address
1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208
Phone (701) 328-8888
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 428 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badlands Behavioral Health Clinic | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Dickinson, ND
- NPI 1952828360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1407095292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 W DIVIDE AVE STE 5",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011208",
"telephone_number": "701-328-8888",
"fax_number": "701-328-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 W DIVIDE AVE STE 5",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011208",
"telephone_number": "701-328-8888",
"fax_number": "701-328-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "ZONGJIAN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.