Mentwab Wuhib, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0184521 Issued in NY

Practice address

1 Elm St
#4
Great Neck, NY 11021-1226

Phone

(917) 388-0422

NPI assigned

Mar 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• The Shield of David, Inc.

  • Clinic/Center
  • Bayside, NY
  • NPI 1184661290
  Medicare reassignment NPD

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1982065728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 KISSENA BLVD",
            "address_2": "APT 14K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553769",
            "telephone_number": "917-388-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELM ST",
            "address_2": "#4",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211226",
            "telephone_number": "917-388-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUHIB",
        "first_name": "MENTWAB",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0184521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pui Yiu Corina Wong, PA
• Solange Wong
• Kevin J Worgul, PH.D.
• Angel Wu
• Peter Jun Pen Wu, LIC. AC
• Sixing Xie
• Yan Yan Sally Xie, M.D.
• Shengnan Xing
• XK Acupuncture Wellness P.C.
• Xueling Guo Acupuncture

• Clinical Psychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.