Vantage Psych, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

VANTAGE PSYCH, PLLC

Practice address

10101 Southwest Fwy Ste 128
Houston, TX 77074-1126

Phone

(832) 618-8902

NPI assigned

Apr 20, 2023

Organization subpart

No

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

Authorized official

Name

Eirene Wong-Liang, PH.D.NPI 1134251457

Title

President

Phone

(832) 618-8902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eirene M. Wong-Liang, PH.D.

  • Clinical Psychologist
  • Houston, TX
  • NPI 1134251457
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1669169587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SOUTHWEST FWY # 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741126",
            "telephone_number": "832-618-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SOUTHWEST FWY STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741126",
            "telephone_number": "832-618-8902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13428 Bissonnet St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770836275",
            "country_code": "US",
            "telephone_number": "832-618-8902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21727 Provincial Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774506508",
            "country_code": "US",
            "telephone_number": "832-618-8902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 Park Bayou Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770771507",
            "country_code": "US",
            "telephone_number": "832-618-8902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANTAGE PSYCH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "WONG-LIANG",
        "authorized_official_first_name": "EIRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-618-8902",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Marc Vanslate, D.D.S.,F.A.G.D.
• Kittie Vanston, LCSW
• Vantage Care Hospice Incorporated
• Vantage Hospice, LLC
• Vantage Hospice, LLC
• Vantage Surgical, PLLC
• Lisa Lynn Vanvleet, LCSW
• David L Vanvoorhis, CRNA
• Kathleen A. Vanwagenen, CRNA, MSN
• Sherry Lynn Vanwart-Noblett, DDS

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.