Wendy Wysong Mullins, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

136744 Issued in CA

Practice address

1632 E Dimondale Dr
Carson, CA 90746-2915

Phone

(310) 218-3813

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quest Health Management Psychological Corporation

  • Community/Behavioral Health Agency
  • Chino, CA
  • NPI 1245791490
  Medicare reassignment NPD
• Fleming & Barnes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Carson, CA
  • NPI 1568912483
  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1720625619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 E DIMONDALE DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462915",
            "telephone_number": "310-218-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 E DIMONDALE DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462915",
            "telephone_number": "310-218-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSONG MULLINS",
        "first_name": "WENDY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-03-01",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111758",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buu Kim Wong, D.P.M.
• Camille Wong, PHARM.D.
• Garrett Wong, MD
• Kristin Grace Wong, PA-C
• Valerie Wong, NBC-HWC
• Anna Yang, O.D.
• Yehowa Medical Services
• Yolanda S Cervantes DMD, Inc.
• Maridith Yoshida, PHARMD
• Emily (Emmy) Young

• Marriage & Family Therapist in Carson, CA
• Providers in Carson, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.