Active NPI
Lien-Lien Lilly Wu, B.A
- Psychologist
- Moraine, OH
National Provider Identifier
1558606780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSYCHOLOGY TRAINEE
- Practice address
- 3095 Kettering Blvd
Moraine, OH 45439-1983 - Phone
- (937) 293-8300
- NPI assigned
- Nov 28, 2012
- Sex
- Female
- 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 | PSYCHOLOGY TRAINEE | OH | Primary |
Addresses
Primary practice location
3095 Kettering Blvd
Moraine, OH 45439-1983
Mailing address
1311 Crystal Harbor Dr.
Fairborn, OH 45324
Phone (626) 377-7226
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)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYCHOLOGY TRAINEE | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1558606780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 CRYSTAL HARBOR DR.",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "45324",
"telephone_number": "626-377-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 KETTERING BLVD",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391983",
"telephone_number": "937-293-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "LIEN-LIEN",
"middle_name": "LILLY",
"name_prefix": "Ms.",
"credential": "B.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "PSYCHOLOGY TRAINEE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.