Chang Wang · Betty Wang · Psychiatry Physician

109 N 12th St Ste 507, Brooklyn, NY 11249-1002

Overview

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.

Provider Information

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

Doctor and Clinician Information

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

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N390200000XStudent in an Organized Health Care Education/Training Program
Y2084P0800XPsychiatry & NeurologyPsychiatry304706NY

Secondary Practice Locations

AddressTelephoneFax
220 5th Ave Fl 11, New York, NY 1000180179142660524
7 W 30th St Fl 9, New York, NY 100012127257850

Taxonomy Information

Primary Taxonomy

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]

Other Taxonomy

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]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Tyla Health LLC 1800 E Van Buren St, Phoenix, AZ 85006-3742Psychiatry Physician2026-06-05
Mcferran Psychiatry LLC 1724 S 22nd St Unit A, Philadelphia, PA 19145-1953Psychiatry Physician2026-06-05
Breanne Fox · Bre Fox 10547 Montgomery Rd # 400, Montgomery, OH 45242-4418Psychiatry Physician2026-06-03
Yuchen Chen 1501 Red River St Fl 2, Austin, TX 78712-1845Psychiatry Physician2026-06-04
Farzaneh Farhadi Md PLLC 2030 8th Ave, Seattle, WA 98121Psychiatry Physician2026-06-05
Farah Hasan 100 E Lehigh Ave, Philadelphia, PA 19125-1012Psychiatry Physician2026-06-03
Johnson Psychiatry 3608 N Sugar Maple Dr, Vincennes, IN 47591-1984Psychiatry Physician2026-06-04
Henry Helms 67 President St, Charleston, SC 29425-5712Psychiatry Physician2026-06-05
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Location Information

Street Address 109 N 12TH ST STE 507
City BROOKLYN
State NY
Zip Code 11249-1002
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Alexandra Mercurio Schira 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Clinical Psychologist2022-03-16
Gregory Weil 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Psychologist2022-12-16
Dylan Horcher 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Psychologist2022-12-12
Jeffrey Goldman 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Clinical Psychologist2021-01-25
Madeline Caulfield Mckeon 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Clinical Psychologist2022-12-12
Jeanna Pagnotta 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Counseling Psychologist2020-06-22
Nicholas Fehertoi 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Clinical Psychologist2021-05-10
Williamsburg Psychiatry Group, PLLC 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Psychiatry Physician2025-11-05
Lydia Kudret 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Student in an Organized Health Care Education/Training Program2025-08-28
Phoebe Swain Shepherd 109 N 12th St Ste 507, Brooklyn, NY 11249-1002Clinical Psychologist2022-10-26
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Katherine Connolly · Katie Connolly 109 N 12th St Ste 701, Brooklyn, NY 11249-1002Psychologist2023-11-02
Anthony Windram 109 N 12th St, Brooklyn, NY 11249-1002Clinical Social Worker2026-04-22
Monica Ierardo 109 N 12th St # 706, Brooklyn, NY 11249-1002Psychologist2023-05-11
The Art of Integration 109 N 12th St Ste 704, Brooklyn, NY 11249-1002Mental Health Clinic/Center (Including Community Mental Health Center)2026-05-22
Sanaya Maria Katrak 109 N 12th St Ste 704, Brooklyn, NY 11249-1002Mental Health Counselor2026-01-26
Mind Over Matter Psychiatry LLC 109 N 12th St Ste 707, Brooklyn, NY 11249-1002Psychiatric/Mental Health Nurse Practitioner2025-10-06
Joselyn Martinez · Joss Martinez 109 N 12th St., Suite 704, Brooklyn, NY 11249-1002Acupuncturist2024-04-30
Jamie Lee Piekarski 109 N 12th St # 704, Brooklyn, NY 11249-1002Psychiatric/Mental Health Nurse Practitioner2019-02-05
Sabrina Dara Rubenstein 109 N 12th St, Brooklyn, NY 11249-1002Clinical Social Worker2026-04-07
Avni Rajpal 109 N 12th St Ste 817, Brooklyn, NY 11249-1002Art Therapist2025-09-09
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
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Katelyn Kernoschak 71 N 7th Street, Ground Floor, Brooklyn, NY 11249Physical Therapist2022-10-12
Lindsay Brine 34 N 4th Street, Brooklyn, NY 11249Social Worker2022-01-27
Marilyn Lizardo 43 South 9th Street, Brooklyn, NY 11249Specialist2014-04-16
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Olivia Nicole Beach 390 Berry Street, Floors 2 & 3, Brooklyn, New York, NY 11249Social Worker2024-11-27
Aida Arroyo 121 Wilson Street, 21c, Brooklyn, NY 11249Registered Nurse2017-10-25
Marlene May Handler 71 N 7th Street, Ground Floor, Brooklyn, NY 11249Occupational Therapist2016-09-08
Home Meds LLC 97 S 3rd St, Brooklyn, NY 11249Community/Retail Pharmacy2012-10-16
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Dataset Information

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

Dataset Details

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.