JIWON HELEN WYMAN M.D.
NPI 1043746621
Psychiatry & Neurology - Psychiatry in Berkeley, CA

Active since May 03, 2017PECOS EnrolledAccepts Medicare Assignment
1918 BONITA AVE # 208, BERKELEY, CA 94704(714) 410-6516 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 18, 2023, May 14, 2023, May 13, 2022 and 3 more (6 updates tracked since 2019).

About Jiwon Helen Wyman M.d. NPPES

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

JIWON HELEN WYMAN M.D. (NPI 1043746621) is an individual psychiatry provider in Berkeley, California, licensed in California (A159214) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lynnwood, and is a graduate of University Of California, Irvine, California College Of Medicine (2017).

NPPES Registry Identity

NPI1043746621
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJIWON HELEN WYMANCredential: M.D.
Location Address1918 BONITA AVE # 208Berkeley, CA 94704-1014
Mailing Address454 Las Gallinas Ave # 2030San Rafael, CA 94903-3618 · (714) 410-6516 · Fax (714) 274-7568
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2017
Enumeration DateMay 3, 2017
Last NPPES UpdateMarch 25, 20246 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1043746621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · A159214✔ Licensed in WA · MD61425994
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.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License A159214 (CA), MD61425994 (WA)
1918 BONITA AVE # 208, Berkeley, CA 94704

Other Names 1

Former Name (1)Jiwon Helen Shin

Secondary Practice Location 1

Location 116824 44th Ave W Ste 170Lynnwood, WA 98037-3117 · Phone (714) 410-6516

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

Jiwon Helen Wyman M.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 ID9739422049
PECOS Enrollment IDI20190529002382
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 Reassignments

4

Medicare enrollment records show Jiwon Helen Wyman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
2020 MILVIA ST STE 440
Berkeley, CA 94704
  • Reassigned Medicare billing, California enrollment
  • 116 clinicians in this Medicare group
Psychiatry
900 HYDE ST
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 208 clinicians in this Medicare group
General Acute Care Hospital
726 4TH ST
Marysville, CA 95901
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
General Acute Care Hospital
1303 E HERNDON AVE
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 181 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 9

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

Social Worker (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Clinic/Center (Adult Mental Health)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Social Worker (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Psychologist (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Dietitian, Registered
1918 BONITA AVE # 208
BERKELEY, CA 94704
Psychologist (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Dietitian, Registered
1918 BONITA AVE # 208
BERKELEY, CA 94704
Psychologist (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jiwon Helen Wyman's NPI number?

The NPI number for Jiwon Helen Wyman is 1043746621. It was assigned to this individual provider in the NPPES registry on May 3, 2017. The provider is also known as Jiwon Helen Shin.

Where is Jiwon Helen Wyman located?

Jiwon Helen Wyman practices at 1918 Bonita Ave # 208, Berkeley, CA 94704. The listed phone number is (714) 410-6516.

What is Jiwon Helen Wyman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jiwon Helen Wyman enrolled in Medicare?

Yes. Jiwon Helen Wyman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jiwon Helen Wyman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jiwon Helen Wyman reassigns Medicare benefits to 4 organizations: Bay Psychiatric Associates (Berkeley, CA), Cep America - Psychiatry PC (San Francisco, CA), Rideout Memorial Hospital (Marysville, CA) and Saint Agnes Medical Center (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jiwon Helen Wyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jiwon Helen Wyman was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.