I-Ting Wang

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120971 Issued in CA

Practice address

3551 Camino Mira Costa San Clemente
Suite T
San Clemente, CA 92672

Phone

(714) 953-4455

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sandpiper Counseling Services Inc

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1144981440
  NPD Authorized official
• Omid Multicultural Institute for Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Irvine, CA
  • NPI 1881082725
  NPD (past)

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1629566245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18012 COWAN STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146823",
            "telephone_number": "949-864-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 CAMINO MIRA COSTA SAN CLEMENTE",
            "address_2": "SUITE T",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92672",
            "telephone_number": "714-953-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Business Center Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926121022",
            "country_code": "US",
            "telephone_number": "949-502-4721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18012 Cowan Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146823",
            "country_code": "US",
            "telephone_number": "949-864-6857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "I-TING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Piper Ann Walsh, PHD
• Rose Walsh
• Walter S Green MD Medical Corporation
• Alice Wang, PA-C
• Marijane Elizabeth Ward, PH.D.
• Robin Warden
• Astacia Diane Warner, M.A. LPCC
• Cynthia Hull Warren
• Brynn Megan Warrington, M.A.

• Marriage & Family Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.