Organization Active NPI

Wang Behavioral Healthcare S.C.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1922419365
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036131692 Issued in IL
Legal business name
WANG BEHAVIORAL HEALTHCARE S.C.
Doing business as
Ascension Behavioral HealthCare
Practice address
1005 E 61St St
Chicago, IL 60637-2713
Phone
(708) 439-2883
Fax
(312) 328-7808
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. Min Wang, MD
Title
Board Certified Psychiatrist
Phone
(708) 439-2883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036131692 IL Primary

Addresses

Primary practice location

1005 E 61St St
Chicago, IL 60637-2713

Mailing address

1005 E 61St St
Chicago, IL 60637-2713
Phone (708) 439-2883

Other names 1

  • Ascension Behavioral HealthCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1922419365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E 61ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372713",
            "telephone_number": "708-439-2883",
            "fax_number": "312-328-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E 61ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372713",
            "telephone_number": "708-439-2883",
            "fax_number": "312-328-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG BEHAVIORAL HEALTHCARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "BOARD CERTIFIED PSYCHIATRIST",
        "authorized_official_telephone_number": "708-439-2883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036131692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Behavioral HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.