Chang Wang is a Psychiatry Physician practicing in Brooklyn, New York. The National Provider Identifier (NPI) is #1477059277, which was assigned on April 2, 2018, and the registration record was last updated on August 25, 2025. The practitioner's main practice location is at 109 N 12th St Ste 507, Brooklyn, NY 11249-1002; the contact telephone number is 9142660524. The primary taxonomy of Chang Wang is Psychiatry Physician (2084P0800X), with specialization in Psychiatry. Chang Wang is licensed to practice in the state of New York (#304706).
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
NPI | 1477059277 |
Entity Type | Individual |
Provider Name | CHANG WANG |
Other Name |
BETTY WANG (Professional Name) |
Gender | Female |
Credential | MD |
Other Credential | MD |
Practice Address |
109 N 12th St Ste 507 Brooklyn NY 11249-1002 |
Practice Telephone | 9142660524 |
Mailing Address |
220 5th Ave Fl 11 New York NY 10001-8017 |
Mailing Telephone | 9142660524 |
Certification Date | 2025-08-25 |
Enumeration Date | 2018-04-02 |
Last Update Date | 2025-08-25 |
Is Sole Proprietor | N |
PAC ID |
0446596761 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
Full Name | CHANG WANG |
Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
Primary Specialty | PSYCHIATRY |
Organization Legal Name | BLANTON-PEALE INSTITUTE |
Address |
7 W 30th St Fl 9 New York NY 10001-4406 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
N | 390200000X | Student in an Organized Health Care Education/Training Program | ||||
Y | 2084P0800X | Psychiatry & Neurology | Psychiatry | 304706 | NY |
Address | Telephone | Fax |
---|---|---|
220 5th Ave Fl 11, New York, NY 100018017 | 9142660524 | |
7 W 30th St Fl 9, New York, NY 10001 | 2127257850 |
Code | 2084P0800X |
Taxonomy | Psychiatry Physician |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
Grouping | Allopathic & Osteopathic Physicians |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
Code | 390200000X |
Taxonomy | Student in an Organized Health Care Education/Training Program |
Classification | Student in an Organized Health Care Education/Training Program |
Grouping | Student, Health Care |
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Valentine Psychiatry PC | 276 5th Ave Ste 704-2708, New York, NY 10001-4509 | Psychiatry Physician | 2025-09-02 |
Binu Chacko, Md | 366 N Broadway, Suite Phe1, Jericho, NY 11753-2020 | Psychiatry Physician | 2025-09-03 |
Sacred Cedar Psychiatry | 1903 Berkeley Way Ste 3, Berkeley, CA 94704-1007 | Psychiatry Physician | 2025-09-03 |
Medical Wellness Practice LLC | 10 Route 31 N, Pennington, NJ 08534-1606 | Psychiatry Physician | 2025-09-04 |
Stephanie Sarazine | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | Psychiatry Physician | 2025-09-05 |
Alexander Welge | 2313 East Venango St, Ste 4b Pmb 1048, Philadelphia, PA 19134 | Psychiatry Physician | 2025-09-01 |
Caroline Ritson, Md LLC | 438 Hobron Ln Ph 1, Honolulu, HI 96815-1238 | Psychiatry Physician | 2025-08-30 |
Muku LLC | 1164 Bishop St Ste 940, Unit 627, Honolulu, HI 96813-2810 | Psychiatry Physician | 2025-09-03 |
Purple Mountain Recovery Inc | 3225 Austin Bluffs Pkwy Ste 100, Colorado Springs, CO 80918-5768 | Psychiatry Physician | 2025-09-04 |
Johannah Joy Hetherington | 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183 | Psychiatry Physician | 2025-08-30 |
Find all providers with the same taxonomy |
Street Address |
109 N 12TH ST STE 507 |
City | BROOKLYN |
State | NY |
Zip Code | 11249-1002 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Jacob Kaplan | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Clinical Psychologist | 2019-06-03 |
Steven Shane Konrad | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Forensic Psychiatry Physician | 2007-01-29 |
Sharon Asher | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Counselor | 2014-09-23 |
Naomi Ben-Ami | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Clinical Psychologist | 2010-09-03 |
Ashley Olivia Bryan | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Clinical Psychologist | 2025-08-25 |
Julia Slotnick | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Clinical Psychologist | 2023-08-16 |
Lydia Kudret | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Student in an Organized Health Care Education/Training Program | 2025-08-28 |
Sydney Rae Appelbaum | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Clinical Psychologist | 2025-08-25 |
Nick Fehertoi | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Clinical Psychologist | 2021-05-10 |
Gregory Weil | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | Psychologist | 2022-12-16 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Christine Jones · Christine Fowler | 109 N 12th St # 802, Brooklyn, NY 11249-1002 | Speech-Language Pathologist | 2018-09-27 |
Akido Medical PLLC | 109 N 12th St Ste 704, Brooklyn, NY 11249-1002 | Emergency Medical Services (Emergency Medicine) Physician | 2025-06-26 |
Katherine Connolly · Katie Connolly | 109 N 12th St Ste 701, Brooklyn, NY 11249-1002 | Psychologist | 2023-11-02 |
Kristen Misek | 109 N 12th St, Brooklyn, NY 11249-1002 | Psychiatric/Mental Health Nurse Practitioner | 2025-03-06 |
Zachary Richard Kramer | 109 N 12th St, Brooklyn, NY 11249-1002 | Mental Health Counselor | 2021-05-04 |
Taylor Lee | 109 N 12th St Ste 704, Brooklyn, NY 11249-1002 | Mental Health Counselor | 2025-08-07 |
Kle Nurse Practitioner In Psychiatry PLLC | 109 N 12th St Ste 704, Brooklyn, NY 11249-1002 | Psychiatric/Mental Health Nurse Practitioner | 2024-09-24 |
Daniel Selling | 109 N 12th St, Brooklyn, NY 11249-1002 | Clinical Psychologist | 2011-04-07 |
Nathaniel Tabachnik | 109 N 12th St Ste 817, Brooklyn, NY 11249-1002 | Social Worker | 2025-05-21 |
William Li | 109 N 12th St Ste 704, Brooklyn, NY 11249-1002 | Mental Health Counselor | 2024-12-05 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Mrunmayee Kulkarni | 71 N 7th St, Brooklyn, NY 11249-3005 | Physical Therapist | 2025-02-17 |
Medical Connect Medical Group Ca, P.C. | 22 N 6th St, Brooklyn, NY 11249-3075 | Emergency Medicine Physician | 2025-08-26 |
Guillerma Moreno | 101 N 10th St Apt 304, Brooklyn, NY 11249-1910 | Massage Therapist | 2025-02-12 |
Nyc Psychiatrist Services P.C. | 58 N 9th St Ste 103, Brooklyn, NY 11249-2018 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2018-12-06 |
Alison Louise Workman | 74 N 8th St Apt 2, Brooklyn, NY 11249-2700 | Psychiatric/Mental Health Nurse Practitioner | 2021-08-23 |
City Medical of Upper East Side, PLLC | 154 N 7th St, Brooklyn, NY 11249-2920 | Urgent Care Clinic/Center | 2014-06-11 |
Tanvi Manish Mehta | 71 N 7th St, Brooklyn, NY 11249-3005 | Physical Therapist | 2024-11-11 |
Aneeka Rajiv Murjany | 71 N 7th St, Brooklyn, NY 11249-3005 | Occupational Therapist | 2025-01-27 |
Reemamichele Contractor | 71 N 7th St, Ground Floor Brooklyn, New York, NY 11249 | Physical Therapist | 2025-06-30 |
Juan Gutierrez | 101 N 10th St Ste 310, Brooklyn, NY 11249-1903 | Chiropractor | 2010-11-19 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Qiancheng Wang · Jack Wang | 301 8th St, Galveston, TX 77555-0001 | Internal Medicine Physician | 2024-06-06 |
Chonghua Wang · Carl Wang | 3762 Tibbetts St, Riverside, CA 92506-2605 | Interventional Pain Medicine Physician | 2012-04-03 |
Christina Hao Wang Brotman | 3400 Spruce St, 1 Founders, Philadelphia, PA 19104-4238 | Student in an Organized Health Care Education/Training Program | 2014-04-03 |
Tzu Chiang Wang · Tzu C. Wang | 353 W 9th Ave, Escondido, CA 92025-5032 | Internal Medicine Physician | 2006-07-12 |
Sarah Wang Margolius · Sarah Elizabeth Ren-Lih Wang | 11100 Euclid Ave, Cleveland, OH 44106-1716 | Pediatric Emergency Medicine (Pediatrics) Physician | 2015-03-21 |
Kaixin Wang · Amber Wang | 60 Crittenden Blvd Apt 432, Rochester, NY 14620-4033 | Mental Health Counselor | 2025-06-24 |
Kai-Min Wang · Carl Wang | 728 Pacific Ave, San Francisco, CA 94133-4457 | Chiropractor | 2009-02-11 |
Xinyi Wang · Stacy Wang | 2255 Post St, San Francisco, CA 94115-3427 | Pain Medicine (Psychiatry & Neurology) Physician | 2022-06-20 |
Betty Wang | 1500 Duarte Rd, Duarte, CA 91010-3012 | Physician Assistant | 2019-10-13 |
Anita Kaiwei Wang | 330 Lewis St, San Diego, CA 92103-2108 | Pharmacist | 2016-10-20 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |