Active NPI
Jenny T. Wang, PHD
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1871886846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 37268
- Practice address
- 1888 Stebbins Drive, Suite 200
Houston, TX 77043 - Phone
- (832) 900-9262
- NPI assigned
- May 24, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4002 | NC | |
| Clinical Psychologist | 103TC0700X | 37268 | TX | Primary |
Addresses
Primary practice location
1888 Stebbins Drive, Suite 200
Houston, TX 77043
Mailing address
13010 Taylorcrest Road
Houston, TX 77079
Phone (832) 900-9262
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4002 | NC | MD | Clinical Psychologist |
| 37268 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1871886846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13010 TAYLORCREST ROAD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77079",
"telephone_number": "832-900-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1888 STEBBINS DRIVE, SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77043",
"telephone_number": "832-900-9262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JENNY",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4002",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.