Active NPI
Wing Ka Joey Chan, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
National Provider Identifier
1891430054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1090649
- Practice address
- 7877 Willow Chase Blvd
Houston, TX 77070-5934 - Phone
- (832) 869-4818
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1090649 | TX | |
| Registered Nurse | 163W00000X | 780382 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1090649 | TX | Primary |
Addresses
Primary practice location
7877 Willow Chase Blvd
Houston, TX 77070-5934
Mailing address
4215 W Terrace Creek Cir
Houston, TX 77014-2028
Phone (832) 593-1212
Other practice location 1
14420 W Sylvanfield Dr # 250
Houston, TX 77014-1678
Phone (281) 836-5452
Other practice location 2
23838 Highway 59 N
Kingwood, TX 77339-1531
Phone (832) 869-4818
Other practice location 3
902 Frostwood Dr Ste 201
Houston, TX 77024-2402
Phone (832) 869-4818
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 780382 | TX | MD | Registered Nurse |
| 1090649 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1891430054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 W TERRACE CREEK CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142028",
"telephone_number": "832-593-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7877 WILLOW CHASE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770705934",
"telephone_number": "832-869-4818"
}
],
"practiceLocations": [
{
"address_1": "14420 W Sylvanfield Dr # 250",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770141678",
"country_code": "US",
"telephone_number": "281-836-5452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23838 Highway 59 N",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "TX",
"postal_code": "773391531",
"country_code": "US",
"telephone_number": "832-869-4818",
"fax_number": "832-241-2902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "902 Frostwood Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770242402",
"country_code": "US",
"telephone_number": "832-869-4818",
"fax_number": "832-241-2902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "WING KA",
"middle_name": "JOEY",
"name_prefix": "Miss",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1090649",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "780382",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1090649",
"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 Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.