Individual provider Active NPI

Ling Wu, PSY.D.

  • Psychologist
  • Rockville, MD
National Provider Identifier
1912135591
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04539 Issued in MD
Practice address
15807 Crabbs Branch Way Ste a
Rockville, MD 20855-6643
Phone
(240) 285-0047
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04539 MD Primary

Addresses

Primary practice location

15807 Crabbs Branch Way Ste a
Rockville, MD 20855-6643

Mailing address

9357 Barrington CT
Frederick, MD 21701-7695
Phone (240) 285-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000531 DC Practitioner - Clinical Psychologist 2860547825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9841 Washingtonian Blvd
Suite 200
Gaithersburg, MD 20878-7350
Phone (240) 285-0047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ling L Wu PSYD LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

9841 Washingtonian Blvd
Ste 200
Gaithersburg, MD 20878
Phone (240) 720-7797

15807 Crabbs Branch Way
Ste A
Rockville, MD 20855
Phone (240) 285-0047

15807 Crabbs Branch Way
Rockville, MD 20855
Phone (240) 285-0047

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1912135591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9357 BARRINGTON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017695",
            "telephone_number": "240-285-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15807 CRABBS BRANCH WAY STE A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208556643",
            "telephone_number": "240-285-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "LING",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.