MIMI WONG PH.D.
NPI 1285708024
Clinical Neuropsychologist in San Francisco, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mimi Wong Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mimi Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94103
- Reassigned Medicare billing, California enrollment
- 1,573 clinicians in this Medicare group
San Francisco, CA 94110
- Reassigned Medicare billing, California enrollment
- 44 clinicians in this Medicare group
Alameda, CA 94501
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
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.
Which organizations bill Medicare for Mimi Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mimi Wong reassigns Medicare benefits to 3 organizations: City & County Of San Francisco (San Francisco, CA), University Of California Sfgh Medical Group (San Francisco, CA) and Alameda Health System (Alameda, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mimi Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mimi Wong, PH.D. · NPI 1285708024
Clinical Neuropsychologist provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1285708024 (Entity type: Individual)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** PSY25379 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 870 MARKET ST, SUITE 744, San Francisco, CA 94102-3099
- **Phone:** (415) 857-1157
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): City & County Of San Francisco (NPI 1053351916, San Francisco, CA); University Of California Sfgh Medical Group (NPI 1356316418, San Francisco, CA); Alameda Health System (NPI 1124446158, Alameda, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1285708024) · Data from the CMS NPPES public registry.