Active NPI
Jason Wu, PH.D
- Clinical Psychologist
- Santa Clara, CA
National Provider Identifier
1902311814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 29671
- Practice address
- 3707 Poinciana Dr Apt 116
Santa Clara, CA 95051-2048 - Phone
- (626) 261-9091
- NPI assigned
- Dec 13, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 29671 | CA | Primary |
Addresses
Primary practice location
3707 Poinciana Dr Apt 116
Santa Clara, CA 95051-2048
Mailing address
3707 Poinciana Dr Apt 116
Santa Clara, CA 95051-2048
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1902311814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 POINCIANA DR APT 116",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950512048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 POINCIANA DR APT 116",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950512048",
"telephone_number": "626-261-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-13",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "29671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.