Audrey Jeannette Wang, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD61067231 Issued in WA

Practice address

1231 116TH Ave NE Ste 350
Bellevue, WA 98004-3834

Phone

(425) 454-1010

NPI assigned

Mar 26, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1659802189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 LENORA ST # 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212108",
            "telephone_number": "206-987-3268",
            "fax_number": "206-988-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 116TH AVE NE STE 350",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043834",
            "telephone_number": "425-454-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Lenora St # 203",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981212108",
            "country_code": "US",
            "telephone_number": "206-987-3268",
            "fax_number": "206-988-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 S Puunene Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967322192",
            "country_code": "US",
            "telephone_number": "808-658-5821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "AUDREY",
        "middle_name": "JEANNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61067231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott William Walters, M.A., LMHCA
• Sydney Ann Walters, DMD
• Daisy Y Wan, RD
• Dale G Wanden, LMP
• Anni Wang, BCBA
• Bennet M. Wang, M.D.
• Bowen Wang
• Charles R Wang, MD
• Chih-Yi Wang, BCBA
• Debra Wang, OTR/L

• Psychiatry Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.