Active NPI
Li Wiesel
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Petersburg, FL
National Provider Identifier
1700718202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Practice address
- 4010 Central Ave
Saint Petersburg, FL 33711-1239 - Phone
- (727) 900-1326
- Fax
- (727) 256-0039
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4010 Central Ave
Saint Petersburg, FL 33711-1239
Mailing address
6306 S Macdill Ave Apt 804
Tampa, FL 33611-5049
Phone (727) 900-1326
Other names 1
- Li Wang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1700718202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6306 S MACDILL AVE APT 804",
"city": "TAMPA",
"state": "FL",
"postal_code": "336115049",
"telephone_number": "727-900-1326",
"fax_number": "727-256-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 CENTRAL AVE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337111239",
"telephone_number": "727-900-1326",
"fax_number": "727-256-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESEL",
"first_name": "LI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LI",
"last_name": "WANG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.