DR. TIMOTHY KENJI WONG PH.D.
NPI 1043588775
Psychologist - Clinical in Santa Monica, CA

Q: What is Timothy Wong's NPI number?

The NPI number for Timothy Wong is 1043588775. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Q: What is Timothy Wong's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Wong was last updated on February 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 08, 2011PECOS EnrolledAccepts Medicare Assignment

3301 OCEAN PARK BLVD STE 210, SANTA MONICA, CA 90405(310) 845-6720 Get Directions Write a Review

NPPES record last updated: February 9, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 9, 2019, Jan 8, 2019 (2 updates tracked since 2019).

On this page

About Dr. Timothy Kenji Wong Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY KENJI WONG PH.D. (NPI 1043588775) is an individual clinical provider in Santa Monica, California, licensed in California (PSY28253) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043588775

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TIMOTHY KENJI WONGCredential: PH.D.

Location Address3301 OCEAN PARK BLVD STE 210Santa Monica, CA 90405-3230

Mailing Address3301 Ocean Park Blvd Ste 210Santa Monica, CA 90405-3230 · (310) 845-6720

Phone(310) 845-6720

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 8, 2011

Last NPPES UpdateFebruary 9, 20192 updates tracked since enumeration

✔ NPI 1043588775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY28253

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3301 OCEAN PARK BLVD STE 210, Santa Monica, CA 90405

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Kenji Wong Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214226190

PECOS Enrollment IDI20160516002417

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Monica Therapy, A Psychology Corporation

Same address

Clinical

3301 OCEAN PARK BLVD STE 210
Santa Monica, CA 90405

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1962967372 (310) 845-6720

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

324 services15 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

168 services15 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

168 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN B. C. SMITH, PH.D., A PSYCHOLOGY CORPORATION

Clinic/Center (Adult Mental Health)