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DR. WING MAN FONG PHD
NPI 1073821096
Psychologist - Clinical in Saint Louis, MO

Active since September 24, 2010PECOS Enrolled
1 BARNES JEWISH HOSPITAL PLZ, DIV NEUROLOGY NEUROPSYCHOLOGY, SAINT LOUIS, MO 63110(314) 362-1408(314) 454-7759 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2023, Nov 15, 2021, Nov 12, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Wing Man Fong Phd NPPES

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

DR. WING MAN FONG PHD (NPI 1073821096) is an individual clinical provider in Saint Louis, Missouri, licensed in Illinois (071-010809) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073821096
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. WING MAN FONGCredential: PHD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV NEUROLOGY NEUROPSYCHOLOGYSaint Louis, MO 63110-1003
Mailing Address660 S Euclid Ave, Cb 8111Saint Louis, MO 63110-1010 · (314) 362-1408 · Fax (314) 454-7759
Phone(314) 362-1408
Fax(314) 454-7759
Sole ProprietorNo
Enumeration DateSeptember 24, 2010
Last NPPES UpdateAugust 23, 20235 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1073821096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071-010809
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 2017002012 (MO)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 2017002012 (MO)
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid490087956MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wing Man Fong Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 20

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

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373
MS. KELSEY ELISE FOGUS CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980

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 Wing Fong's NPI number?

The NPI number for Wing Fong is 1073821096. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Where is Wing Fong located?

Wing Fong practices at 1 Barnes Jewish Hospital Plz Div Neurology Neuropsychology, Saint Louis, MO 63110. The listed phone number is (314) 362-1408.

What is Wing Fong's specialty?

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

Is Wing Fong enrolled in Medicare?

Yes. Wing Fong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wing Fong was last updated on August 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.