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TIMOTHY WONG LMFT
NPI 1093970618
Marriage & Family Therapist in Tracy, CA

Active since July 23, 2008PECOS EnrolledAccepts Medicare Assignment
2185 W GRANT LINE RD, TRACY, CA 95377(209) 839-3200 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2022, Apr 23, 2020, Oct 20, 2016 (3 updates tracked since 2016).

About Timothy Wong Lmft NPPES

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

TIMOTHY WONG LMFT (NPI 1093970618) is an individual marriage & family therapist in Tracy, California, licensed in California (80325) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1093970618
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameTIMOTHY WONGCredential: LMFT
Location Address2185 W GRANT LINE RDTracy, CA 95377-7309
Mailing Address2185 W Grant Line RdTracy, CA 95377-7309 · (209) 839-3200
Phone(209) 839-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 23, 2008
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
✔ NPI 1093970618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 80325
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2185 W GRANT LINE RD, Tracy, CA 95377
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Wong Lmft 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 ID9133570187
PECOS Enrollment IDI20240104000368
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.

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.

ELENA GALLARDO COSTA NP
Nurse Practitioner
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3300
DR. TRACY ANN GAYESKI PSY.D.
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6234
MS. MYRA MAE SIA HAYA CCC-SLP
Speech-Language Pathologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
DR. NGOC SON DANG PHARMD
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6210
STACY QUACH PHARMD
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6210
JAMES G. STEPHEN MD
Internal Medicine
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
DR. DOREEN ANN SAMELSON EDD, MSCP
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6233
DR. NICOLE LEONA PREISS PSYD
Psychologist
2185 W GRANT LINE RD, PSYCHIATRY
TRACY, CA 95377
San Joaquin County (209) 839-6252

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 Timothy Wong's NPI number?

The NPI number for Timothy Wong is 1093970618. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Timothy Wong located?

Timothy Wong practices at 2185 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 839-3200.

What is Timothy Wong's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Timothy Wong enrolled in Medicare?

Yes. Timothy Wong 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.

When was this NPI record last updated?

The NPPES record for Timothy Wong was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.