MIMI WONG PH.D.
NPI 1285708024
Clinical Neuropsychologist in San Francisco, CA

Q: What is Mimi Wong's NPI number?

The NPI number for Mimi Wong is 1285708024. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Mimi Wong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mimi Wong was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 20, 2006PECOS Enrolled

870 MARKET ST, SUITE 744, SAN FRANCISCO, CA 94102(415) 857-1157 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mimi Wong Ph.d. NPPES

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

MIMI WONG PH.D. (NPI 1285708024) is an individual clinical neuropsychologist in San Francisco, California, licensed in California (PSY25379) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285708024

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameMIMI WONGCredential: PH.D.

Location Address870 MARKET ST, SUITE 744San Francisco, CA 94102-3099

Mailing AddressPo Box 5330South San Francisco, CA 94083-5330 · (415) 857-1157

Phone(415) 857-1157

Sole ProprietorYes

Enumeration DateNovember 20, 2006

Last NPPES UpdateJune 26, 2014

✔ NPI 1285708024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY25379

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.

870 MARKET ST, San Francisco, CA 94102

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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 (PECOS)

Mimi Wong Ph.d. 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.

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.

REBECCA LYNN CATES L.AC.

Acupuncturist

870 MARKET ST, SUITE # 1117
SAN FRANCISCO, CA 94102

San Francisco County (415) 573-6168

DR. JAMES PATRICK O'DOWD PSY.D.

Psychologist

870 MARKET ST, STE. 753
SAN FRANCISCO, CA 94102

San Francisco County (415) 725-0804

MARIANNE SMITH CMT

Health Maintenance Organization

870 MARKET ST, 721
SAN FRANCISCO, CA 94102

San Francisco County (415) 412-7366

MRS. KRISTINA NICOLE SERRANO LMFT

Marriage & Family Therapist

870 MARKET ST, SUITE 1277
SAN FRANCISCO, CA 94102

San Francisco County (415) 397-6622

MR. JEROME EDWARD BRAUN MFT

Marriage & Family Therapist

870 MARKET ST, SUITE 1252
SAN FRANCISCO, CA 94102

San Francisco County (415) 984-0501

DANIEL CHARLES MCCRACKEN MFT

Marriage & Family Therapist

870 MARKET ST, SUITE 441
SAN FRANCISCO, CA 94102

San Francisco County (415) 846-6557

DR. STEPHANIE CATELLA PSYD

Psychologist (Clinical)

870 MARKET ST
SAN FRANCISCO, CA 94102

San Francisco County (415) 484-9433

DR. ROSLYN WRIGHT M.ED., PSY.D.

Clinical Neuropsychologist

870 MARKET ST, SUITE 1181
SAN FRANCISCO, CA 94102

San Francisco County (415) 296-8081

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 Mimi Wong's NPI number?

The NPI number for Mimi Wong is 1285708024. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Mimi Wong located?

Mimi Wong practices at 870 Market St Suite 744, San Francisco, CA 94102. The listed phone number is (415) 857-1157.

What is Mimi Wong's specialty?

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

Is Mimi Wong enrolled in Medicare?

Yes. Mimi Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mimi Wong was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.