Individual provider Active NPI

Arlette Cremer Wong

  • Psychologist
  • Commerce, CA
National Provider Identifier
1659570265
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27950 Issued in CA
Practice address
5835 S Eastern Ave
2ND Floor
Commerce, CA 90040-4029
Phone
(323) 725-4625
Fax
(323) 728-9201
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Rehabilitation Counselor 225C00000X
Psychologist 103T00000X PSY27950 CA Primary

Addresses

Primary practice location

5835 S Eastern Ave
2ND Floor
Commerce, CA 90040-4029

Mailing address

5835 S Eastern Ave
2ND Floor
Commerce, CA 90040-4029
Phone (323) 725-4625

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

State licenses

LicenseStateTypeSpecialty
PSY27950CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1659570265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 S EASTERN AVE",
            "address_2": "2ND FLOOR",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404029",
            "telephone_number": "323-725-4625",
            "fax_number": "323-728-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 S EASTERN AVE",
            "address_2": "2ND FLOOR",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404029",
            "telephone_number": "323-725-4625",
            "fax_number": "323-728-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMER WONG",
        "first_name": "ARLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.