CHONG PSYCHOLOGICAL SERVICES – NPI #1396475463
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CHONG PSYCHOLOGICAL SERVICES is an AHC clinic located in LEWISVILLE, TX. NPPES has assigned the NPI number 1396475463 to CHONG PSYCHOLOGICAL SERVICES on June 13, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 4 years ago on Aug 24, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHONG PSYCHOLOGICAL SERVICES below.

NPI Profile for
CHONG PSYCHOLOGICAL SERVICES

NPI Number
1396475463
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHONG PSYCHOLOGICAL SERVICES
Primary location
4400 STATE HIGHWAY 121 STE 300
LEWISVILLE, TX 75056-5157
Phone: (972) 835-8189 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WEN WEN CHONG
LICENSED PSYCHOLOGIST
Phone: (469) 476-0091
Updated
Certification Date
Aug 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.