Active NPI
Jay Wung, M.D.
- Psychiatry Physician
- Salem, OR
National Provider Identifier
1821174707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD28768
- Practice address
- 1127 Oak St SE
Salem, OR 97301-4020 - Phone
- (503) 814-7441
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A83271 | CA | |
| Psychiatry Physician | 2084P0800X | MD28768 | OR | Primary |
Addresses
Primary practice location
1127 Oak St SE
Salem, OR 97301-4020
Mailing address
PO Box 351769
Los Angeles, CA 90035-0226
Phone (310) 867-4653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
445 3Rd Ave SW
Linn County Mental Health Services
Albany, OR 97321-0031
Phone (541) 967-3866
Hospital & facility affiliations
- Samaritan Albany General Hospital
- Samaritan Lebanon Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83271 | CA | MD | Psychiatry Physician |
| MD28768 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Linn | Current | Accepting new patients | |
| County of Linn | Current | Accepting new patients | |
| County of Linn | Past | Accepting new patients |
Locations
445 3rd Ave SW
Albany, OR 97321
Phone (541) 924-6916
445 3rd Ave SW
#H
Albany, OR 97321
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Albany, OR
- NPI 1760575781
-
- Medical Specialty Clinic/Center
- Albany, OR
- NPI 1174282172
-
- Non-Surgical Family Planning Clinic/Center
- Albany, OR
- NPI 1003991365
Hospital & facility affiliations 32
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1821174707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351769",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900350226",
"telephone_number": "310-867-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014020",
"telephone_number": "503-814-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUNG",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A83271",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD28768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.