Individual provider Active NPI

Ho-Shyuan Wu, PH.D

  • Clinical Neuropsychologist
  • Somerville, NJ
National Provider Identifier
1548258692
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35S100425700 Issued in NJ
Practice address
92 E Main St Ste 411
Somerville, NJ 08876-2319
Phone
(908) 304-5953
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00425700 NJ
Clinical Neuropsychologist 103G00000X 35S100425700 NJ Primary

Addresses

Primary practice location

92 E Main St Ste 411
Somerville, NJ 08876-2319

Mailing address

5 Sedgefield Dr
Morris Plains, NJ 07950-3032
Phone (973) 885-9200

Other identifiers 1

IdentifierTypeStateIssuer
0069752MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000197 NJ Practitioner - Clinical Psychologist 2961448394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony Group LLCGroup PAC ID 2769605195, 5 clinicians

Practice addresses (Care Compare)

92 E Main St
Suite 411
Somerville, NJ 08876-2319
Phone (908) 304-5953

Merit-based Incentive Payment System (MIPS)

Final score
17.53 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100425700NJMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Group LLC CurrentSince Jul 25, 2014 Accepting new patients
Jersey Central Chiropractic Health and Wellness, LLC PastSince Nov 1, 2016 Accepting new patients

Locations

92 E Main St
Ste 411
Somerville, NJ 08876
Phone (908) 707-9700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1548258692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEDGEFIELD DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503032",
            "telephone_number": "973-885-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 E MAIN ST STE 411",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762319",
            "telephone_number": "908-304-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "HO-SHYUAN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00425700",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35S100425700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069752",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.