Jenny Wang, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY60523734 Issued in WA

Practice address

1700 Westlake Ave N Ste 200 PMB 1402
Seattle, WA 98109-6212

Phone

(206) 460-1667

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 3, 2018 through May 3, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1679944730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17006 NE 100TH PL",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTLAKE AVE N STE 200 PMB 1402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096212",
            "telephone_number": "206-460-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60523734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PY60523734",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hui Wang
• Ichung Wang, DDS
• James F Wang, MD
• Jasmine Jiemei Wang, MD
• Jennifer Wang, MD
• Jesse Francis Wang, MD
• Jia Wang, DE61176282
• Jianyun Wang, LMP
• Jimmy Wang, D.C.
• Jocelyn Wang, M.D., M.B.A.

• Counseling Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.