Active NPI
Marlena Mingying Wu, PSYD
- Psychologist
- Rockville, MD
National Provider Identifier
1801324041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05900
- Practice address
- 5920 Hubbard Dr
Rockville, MD 20852-4823 - Phone
- (301) 984-9791
- Fax
- (301) 984-9791
- NPI assigned
- Jun 1, 2017
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05900 | MD | Primary |
Addresses
Primary practice location
5920 Hubbard Dr
Rockville, MD 20852-4823
Mailing address
5103 Gardner Dr
Alexandria, VA 22304-7705
Phone (937) 369-1566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 9, 2017 through Jan 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05900 | MD | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496275200000",
"number": "1801324041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5103 GARDNER DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223047705",
"telephone_number": "937-369-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 HUBBARD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524823",
"telephone_number": "301-984-9791",
"fax_number": "301-984-9791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "MARLENA",
"middle_name": "MINGYING",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2017-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MD",
"license": "05900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.