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DR. BONNIE WONG PHD
NPI 1215964853
Clinical Neuropsychologist in Brookline, MA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1842 BEACON ST STE 402, BROOKLINE, MA 02445(617) 283-9739(888) 972-6581 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bonnie Wong Phd NPPES

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

DR. BONNIE WONG PHD (NPI 1215964853) is an individual clinical neuropsychologist in Brookline, Massachusetts, licensed in Massachusetts (8414) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Boston University School Of Medicine (2004).

NPPES Registry Identity

NPI1215964853
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. BONNIE WONGCredential: PHD
Location Address1842 BEACON ST STE 402Brookline, MA 02445-1922
Mailing Address68 Seaverns Ave Apt AJamaica Plain, MA 02130-3098 · (617) 283-9739 · Fax (857) 972-6581
Phone(617) 283-9739
Fax(888) 972-6581
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2004
Enumeration DateJune 27, 2006
Last NPPES UpdateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1215964853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MA · 8414
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 8414 (MA)
1842 BEACON ST STE 402, Brookline, MA 02445
Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 724-5708

Other Identifiers 1

Medicaid0599077MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Dr. Bonnie Wong Phd 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 ID5496770976
PECOS Enrollment IDI20051013000532
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.

Areas of Expertise CMS Part B claims

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.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
138 services15 patients

Other Providers at the Same Location NPPES 3

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

DR. ANN E GOEBEL-FABBRI PHD
Psychologist (Clinical)
1842 BEACON ST STE 402
BROOKLINE, MA 02445
Norfolk County (617) 513-9327
DEBORAH K MANEGOLD M.D.
Psychiatry & Neurology (Psychiatry)
1842 BEACON ST STE 402
BROOKLINE, MA 02445
Norfolk County (781) 690-1317
DR. OLIVER JACOB SHORE MD
Student in an Organized Health Care Education/Training Program
1842 BEACON ST STE 402
BROOKLINE, MA 02445
Norfolk County (617) 987-4455

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 Bonnie Wong's NPI number?

The NPI number for Bonnie Wong is 1215964853. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Bonnie Wong located?

Bonnie Wong practices at 1842 Beacon St Ste 402, Brookline, MA 02445. The listed phone number is (617) 283-9739.

What is Bonnie Wong's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Bonnie Wong enrolled in Medicare?

Yes. Bonnie 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.

What insurance does Bonnie Wong accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Bonnie Wong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonnie Wong was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.