Active NPI
Christine Wong, PSYD, a Professional Corp
- Clinical Psychologist
- Claremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY21007
- Legal business name
- CHRISTINE WONG, PSYD, A PROFESSIONAL CORP
- Practice address
- 427 Yale Ave # 200
Claremont, CA 91711-4340 - Phone
- (909) 833-1596
- Fax
- (626) 338-9022
- NPI assigned
- Sep 6, 2017
- Last updated
- Sep 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Wong, PSYD
- Title
- Psychologist
- Phone
- (909) 833-1596
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY21007 | CA | |
| Clinical Psychologist | 103TC0700X | PSY21007 | CA | Primary |
| Community/Behavioral Health Agency | 251S00000X | PSY21007 | CA |
Addresses
Primary practice location
427 Yale Ave # 200
Claremont, CA 91711-4340
Mailing address
427 Yale Ave # 200
Claremont, CA 91711-4340
Phone (909) 833-1596
Other names 1
- Christine Wong, PsyD, A PRofessional Corp
National Provider Directory
National Provider DirectoryLocations
427 Yale Ave
Ste 200
Claremont, CA 91711
Phone (909) 833-1596
427 Yale Ave
#200
Claremont, CA 91711
Phone (909) 833-1596
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Claremont, CA
- NPI 1134211105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504656000000",
"number": "1679091938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 YALE AVE # 200",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114340",
"telephone_number": "909-833-1596",
"fax_number": "626-338-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 YALE AVE # 200",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114340",
"telephone_number": "909-833-1596",
"fax_number": "626-338-9022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTINE WONG, PSYD, A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "909-833-1596",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "PSY21007",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY21007",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "PSY21007",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Christine Wong, PsyD, A PRofessional Corp",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.