DR. REBECCA L WONG (NPI# 1114354529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114354529 |
| Entity Type | Individual |
| Full Name | DR. REBECCA L WONG |
| Credential | PH.D. |
| Practice Address |
703 3rd St Room 1120 West Lafayette IN 47907-2081 |
| Practice Telephone | 7654946995 |
| Practice Fax Number | 7654963004 |
| Mailing Telephone | 7654946995 |
| Mailing Fax Number | 7654963004 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20040228A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962871830 | Rebecca Joy Wong | Physician Assistant | 6117 231st St, Bayside, NY 11364-2426 | 2015-09-21 |
| 1093053274 | Rebecca Wong | Pharmacist | New Mexico 371, Crownpoint, NM 87313 | 2013-01-23 |
| 1659491322 | Rebecca Chi-lan Wong | Physical Therapist | 15100 Los Gatos Blvd Ste 1, Los Gatos, CA 95032-2028 | 2007-03-29 |
| 1386278984 | Rebecca Ann Wong | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-02-24 |
| 1275198608 | Rebecca Wong | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2019-05-01 |
| 1396256780 | Rebecca Wong | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2017-10-12 |
| 1356850135 | Rebecca Wong | Student in an Organized Health Care Education/Training Program | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2017-09-25 |
| 1629503685 | Rebecca Wong | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1050, Graduate Medical Education, Toledo, OH 43614-2595 | 2017-04-27 |
| 1174986194 | Rebecca Yuen Shi Wong | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Ste 402, Pittsburgh, PA 15213-3221 | 2016-03-29 |
| 1831421809 | Rebecca Wong | Pharmacist | 1351 W Prince Rd, Tucson, AZ 85705-3114 | 2010-02-02 |
| Street Address |
703 3RD ST ROOM 1120 |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47907-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790283919 | Julie Lynn Beckwith | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2018-01-23 |
| 1417384504 | Colleen Maguire Jackson | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2013-10-03 |
| 1578990677 | Douglas Bennett | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2013-10-03 |
| 1346677549 | Katheryne Kopp Miller | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2013-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274464 | Christine Michelle Jones | Nurse Practitioner | Lyles-porter Hall 715 Clinic Drive, West Lafayette, IN 47907 | 2020-01-15 |
| 1013415033 | Brianna Johnson | Psychologist | 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 | 2018-01-24 |
| 1285095885 | Christina Ellen Manfred | Nurse Practitioner | 601 W. Stadium Ave, West Lafayette, IN 47907 | 2016-03-10 |
| 1265612626 | Anu Subramanian | Speech-Language Pathologist | 500 Oval Drive Purdue University, Dept of Speech Language and Hearing Sciences, West Lafayette, IN 47907 | 2007-11-13 |
| 1720163348 | Andrea Lynn Lopez | Specialist/Technologist | 900 N. University Ave, Room B63, West Lafayette, IN 47907 | 2006-10-25 |
| 1912914680 | Jeanette Stone Leonard | Audiologist | 715 Clinic Drive, Purdue University, West Lafayette, IN 47907 | 2006-08-02 |
| 1447224977 | Lindsey Ann Watson | Specialist/Technologist | 900 N University Dr, Mackey Arena, Room B60, West Lafayette, IN 47907 | 2006-02-13 |
| 1992280960 | Carol Callahan Lancaster | Nurse Practitioner | 601 Stadium Mall Drive, West Lafayette, IN 47907 | 2018-09-26 |
| 1104314046 | Lukas Micheal Passalacqua | Specialist/Technologist | 900 N John R Wooden Dr, West Lafayette, IN 47907 | 2018-04-26 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| Find all providers in zip 47907 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427577485 | Kyle Steven Kittleson | Psychologist | 601 Stadium Mall Dr Fl 2, West Lafayette, IN 47907-2052 | 2017-09-11 |
| 1679070924 | Andrew Mark Zaitsoff | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-04-11 |
| 1417384504 | Colleen Maguire Jackson | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2013-10-03 |
| 1427485655 | Mona Bapat | Psychologist | 148 Sagamore Pkwy W, West Lafayette, IN 47906-1569 | 2013-10-02 |
| 1528030681 | Donald L Werden | Psychologist | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273849 | Anahli Mayank Patel | Psychologist | 550 University Blvd Ste 1602, Indianapolis, IN 46202-5149 | 2020-10-20 |
| 1861006587 | Dr Michael Jones Psychological Associates, LLC | Psychologist | 8510 Evergreen Ave Ste 106, Indianapolis, IN 46240-2338 | 2020-09-01 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1881222016 | Ericka Swanson Psyd Inc. | Psychologist | 9305 Calumet Ave Ste A2, Munster, IN 46321-2888 | 2020-04-01 |
| 1184251316 | Pei-yi Lin | Psychologist | 9504 Rachel Dr, Yorktown, IN 47396-9826 | 2020-03-26 |
| 1679109383 | Christina Chico | Psychologist | 1 Park Row St, Michigan City, IN 46360-6597 | 2020-03-14 |
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1295205615 | Monumental Behavioral Health Inc | Psychologist | 1201 N Post Rd Ste C, Indianapolis, IN 46219-4246 | 2018-11-28 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47907 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.