Organization Active NPI

Christine Wong, PSYD, a Professional Corp

  • Clinical Psychologist
  • Claremont, CA
National Provider Identifier
1679091938
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21007 Issued in CA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Authorized official

Name
Dr. Christine Wong, PSYDNPI 1134211105
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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY21007 CA
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.