DR. KENNETH WANG PHD
NPI 1043761448
Psychologist in Pasadena, CA

Active since October 20, 2016Opted out of Medicare · through Dec 21, 2027
180 N OAKLAND AVE, PASADENA, CA 91101(626) 304-3712 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Wang Phd NPPES

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

DR. KENNETH WANG PHD (NPI 1043761448) is an individual psychologist in Pasadena, California, licensed in California (PSY27680) and active in the NPI registry since October 2016. He has opted out of Medicare through December 21, 2027.

NPPES Registry Identity

NPI1043761448
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KENNETH WANGCredential: PHD
Location Address180 N OAKLAND AVEPasadena, CA 91101-1714
Mailing Address180 N Oakland AvePasadena, CA 91101-1714 · (626) 304-3712
Sole ProprietorYes
Enumeration DateOctober 20, 2016
NPI 1043761448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY27680
Definition
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.
180 N OAKLAND AVE, Pasadena, CA 91101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kenneth Wang Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 21, 2023 through December 21, 2027.

Opt-Out Effective DateDecember 21, 2023
Opt-Out In Effect ThroughDecember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
180 N OAKLAND AVE
PASADENA, CA 91101
Marriage & Family Therapist
180 N OAKLAND AVE, 2ND FLOOR
PASADENA, CA 91101
Psychologist
180 N OAKLAND AVE
PASADENA, CA 91101
Internal Medicine
180 N OAKLAND AVE
PASADENA, CA 91101
Psychologist
180 N OAKLAND AVE
PASADENA, CA 91101
Marriage & Family Therapist
180 N OAKLAND AVE
PASADENA, CA 91101
Psychologist
180 N OAKLAND AVE
PASADENA, CA 91101
Psychologist (Clinical)
180 N OAKLAND AVE
PASADENA, CA 91101

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 Kenneth Wang's NPI number?

The NPI number for Kenneth Wang is 1043761448. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Kenneth Wang located?

Kenneth Wang practices at 180 N Oakland Ave, Pasadena, CA 91101. The listed phone number is (626) 304-3712.

What is Kenneth Wang's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kenneth Wang enrolled in Medicare?

No. Kenneth Wang has opted out of Medicare through December 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kenneth Wang was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.